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Deficiency Records for Autumn Lake Healthcare at Crofton
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Crofton. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Crofton. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-09-25 | 2026-01-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-09-25 | 2026-01-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-09-25 | 2026-01-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-09-25 | 2026-01-17 | 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 | 2025-09-25 | 2025-11-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-09-25 | 2025-11-01 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-09-25 | 2025-11-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-09-25 | 2025-11-01 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-09-25 | 2025-11-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-09-25 | 2025-11-01 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-09-25 | 2025-11-01 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-09-25 | 2025-11-01 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-09-25 | 2025-11-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-09-25 | 2025-11-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-09-25 | 2025-11-01 | N |
| Provide activities to meet all resident's needs. | Health | 2025-09-25 | 2025-11-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-09-25 | 2025-11-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-09-25 | 2025-11-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-09-25 | 2025-11-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-09-25 | 2025-11-01 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2025-09-25 | 2025-11-01 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2025-09-25 | 2025-11-01 | N |
| Provide training in compliance and ethics. | Health | 2025-09-25 | 2025-11-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-25 | 2025-11-01 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-02-20 | 2024-04-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-02-20 | 2024-04-09 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-02-20 | 2024-04-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-20 | 2024-04-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-02-20 | 2024-04-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-20 | 2024-04-09 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-02-20 | 2024-04-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-20 | 2024-04-09 | 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 | 2024-02-20 | 2024-04-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-02-20 | 2024-04-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-02-20 | 2024-04-09 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-02-20 | 2024-04-09 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-02-20 | 2024-04-09 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-02-20 | 2024-04-09 | 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 | 2024-02-20 | 2024-04-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-02-20 | 2024-04-09 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-02-20 | 2024-04-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-20 | 2024-04-09 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-02-20 | 2024-04-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-20 | 2024-04-09 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-02-20 | 2024-04-09 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2024-02-20 | 2024-04-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-20 | 2024-04-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-20 | 2024-04-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-20 | 2024-04-04 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-02-20 | 2024-04-04 | 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 | 2024-02-20 | 2024-04-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-20 | 2024-04-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-20 | 2024-04-04 | 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 | 2024-02-20 | 2024-04-04 | 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 | 2024-02-20 | 2024-04-04 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2024-02-20 | 2024-04-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-20 | 2024-04-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-20 | 2024-04-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-20 | 2024-04-04 | 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 | 2024-02-20 | 2024-04-04 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2024-02-20 | 2024-04-04 | N |
| 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 | 2019-03-25 | 2019-04-16 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-03-25 | 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 | 2019-03-25 | 2019-04-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-25 | 2019-03-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-25 | 2019-03-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-03-25 | 2019-03-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-03-25 | 2019-03-23 | N |
| Meet other general requirements. | Fire Safety | 2019-03-25 | 2019-03-22 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-03-25 | 2019-03-21 | N |