A list of the most recent deficiencies for Autumn Lake Healthcare at Crofton. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-25 | 2019-04-26 | 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 | 2019-03-25 | 2019-04-26 | 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 | 2019-03-25 | 2019-04-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-25 | 2019-04-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-20 | 2019-04-16 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-03-20 | 2019-04-16 | 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 | 2019-03-20 | 2019-04-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-20 | 2019-03-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-20 | 2019-03-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-03-20 | 2019-03-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-03-20 | 2019-03-23 | N |
| Meet other general requirements. | Fire Safety | 2019-03-20 | 2019-03-22 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-03-20 | 2019-03-21 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-11-14 | 2018-02-08 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-11-09 | 2018-01-09 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-11-09 | 2018-01-09 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-11-09 | 2018-01-09 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-11-09 | 2018-01-09 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-11-09 | 2018-01-09 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-08-08 | 2016-10-20 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-08-08 | 2016-10-20 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-08-08 | 2016-08-24 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-08-08 | 2016-08-24 | N |
