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Deficiency Records for Autumn Lake Healthcare at Catonsville
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Catonsville. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Catonsville. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2025-08-18 | 2025-10-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-18 | 2025-10-22 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2025-08-18 | 2025-10-22 | N |
| Post nurse staffing information every day. | Health | 2025-08-18 | 2025-10-22 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-08-18 | 2025-10-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-08-18 | 2025-10-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-08-18 | 2025-10-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-18 | 2025-10-22 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-08-18 | 2025-10-22 | N |
| Dispose of garbage and refuse properly. | Health | 2025-08-18 | 2025-10-22 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2025-08-18 | 2025-10-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-08-18 | 2025-10-22 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2025-08-18 | 2025-10-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-08-18 | 2025-10-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-18 | 2025-10-22 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-08-18 | 2025-10-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-08-18 | 2025-10-22 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2025-08-18 | 2025-10-22 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-08-18 | 2025-10-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-08-18 | 2025-10-22 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2025-08-18 | 2025-10-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-08-18 | 2025-10-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-08-18 | 2025-10-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-08-18 | 2025-10-22 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-08-18 | 2025-10-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-18 | 2025-10-22 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-08-18 | 2025-10-22 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-08-18 | 2025-10-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-08-18 | 2025-10-22 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-08-18 | 2025-10-22 | N |
| Keep all essential equipment working safely. | Health | 2025-08-18 | 2025-10-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-08-18 | 2025-10-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-21 | 2023-09-18 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-21 | 2023-09-18 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-03-24 | 2023-05-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-24 | 2023-05-08 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2023-03-24 | 2023-05-08 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-03-24 | 2023-05-08 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-03-24 | 2023-05-08 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2023-03-24 | 2023-05-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-24 | 2023-05-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-24 | 2023-05-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-24 | 2023-05-08 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-03-24 | 2023-05-08 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-03-24 | 2023-05-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-24 | 2023-05-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-24 | 2023-05-08 | N |
| Post nurse staffing information every day. | Health | 2023-03-24 | 2023-05-08 | N |
| Respond appropriately to all alleged violations. | Health | 2023-03-24 | 2023-05-08 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-03-24 | 2023-05-08 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-03-24 | 2023-05-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-24 | 2023-05-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-24 | 2023-05-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-24 | 2023-05-08 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-03-24 | 2023-05-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-24 | 2023-05-08 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-03-24 | 2023-05-08 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-03-24 | 2023-05-08 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-03-24 | 2023-05-08 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-03-24 | 2023-05-08 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-03-24 | 2023-05-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-24 | 2023-04-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-24 | 2023-04-19 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-03-24 | 2023-04-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-24 | 2023-04-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-24 | 2023-04-19 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-03-24 | 2023-04-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-24 | 2023-04-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-24 | 2023-04-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-24 | 2023-04-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-24 | 2023-04-19 | N |
| Meet other general requirements. | Fire Safety | 2018-12-21 | 2019-04-05 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2018-12-21 | 2019-04-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-21 | 2019-04-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-12-21 | 2019-04-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-12-21 | 2019-04-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-12-21 | 2019-04-05 | N |
| Meet other general requirements. | Fire Safety | 2018-12-21 | 2019-04-05 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-12-21 | 2019-04-05 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-12-21 | 2019-04-05 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-12-21 | 2019-04-05 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-12-21 | 2019-04-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-12-21 | 2019-04-05 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-12-21 | 2019-01-31 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-12-21 | 2019-01-31 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-12-21 | 2019-01-31 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-12-21 | 2019-01-31 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-12-21 | 2019-01-31 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2018-12-21 | 2019-01-31 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2018-12-21 | 2019-01-31 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2018-12-21 | 2019-01-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-21 | 2019-01-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-12-21 | 2019-01-31 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-12-21 | 2019-01-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-21 | 2019-01-31 | N |
| Keep all essential equipment working safely. | Health | 2018-12-21 | 2019-01-31 | N |
| Have enough backup water supply for essential areas of the nursing home. | Health | 2018-12-21 | 2019-01-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-21 | 2019-01-31 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-12-21 | 2019-01-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-12-21 | 2019-01-31 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2018-12-21 | 2019-01-31 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-12-21 | 2019-01-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-21 | 2019-01-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-12-21 | 2019-01-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-12-21 | 2019-01-31 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-12-21 | 2019-01-31 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-12-21 | 2019-01-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-12-21 | 2019-01-31 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-12-21 | 2019-01-31 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-12-21 | 2019-01-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-12-21 | 2019-01-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-12-21 | 2019-01-31 | N |