A list of the most recent deficiencies for Autumn Lake Healthcare at Parkville. 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? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-02 | 2023-02-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-02 | 2023-02-28 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-11-17 | 2023-02-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-17 | 2023-02-01 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-11-17 | 2023-02-01 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-11-17 | 2023-02-01 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2022-11-17 | 2023-02-01 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2022-11-17 | 2023-02-01 | 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 | 2022-11-17 | 2023-02-01 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-11-17 | 2023-02-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-17 | 2023-02-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-17 | 2023-02-01 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-11-17 | 2023-02-01 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-02 | 2023-01-23 | 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 | 2022-12-02 | 2023-01-23 | 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 | 2022-12-02 | 2023-01-23 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-12-02 | 2023-01-23 | 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 | 2022-12-02 | 2023-01-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-02 | 2023-01-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-12-02 | 2023-01-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-02 | 2023-01-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-02 | 2023-01-23 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-12-02 | 2023-01-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-02 | 2023-01-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-02 | 2023-01-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-02 | 2023-01-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-12-02 | 2023-01-23 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2022-12-02 | 2023-01-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-02 | 2023-01-23 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-12-02 | 2023-01-23 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-12-02 | 2023-01-23 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-12-02 | 2023-01-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-02 | 2023-01-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-19 | 2021-09-23 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-19 | 2021-09-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-19 | 2021-09-23 | Y |
| Post nurse staffing information every day. | Health | 2021-08-19 | 2021-09-23 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-08-19 | 2021-09-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-11 | 2021-07-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-11 | 2021-07-30 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-06-11 | 2021-07-30 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-11-17 | 2020-06-20 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-12-19 | 2019-03-15 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-12-19 | 2019-03-15 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-12-19 | 2019-03-15 | 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 | 2018-12-19 | 2019-03-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-12-19 | 2019-03-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-12-19 | 2019-03-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-12-19 | 2019-03-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-12-19 | 2019-03-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-19 | 2019-03-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-12-19 | 2019-03-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-12-11 | 2019-02-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-12-11 | 2019-02-18 | 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 | 2018-12-11 | 2019-02-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-11 | 2019-02-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-12-11 | 2019-02-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-12-11 | 2019-02-18 | 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 | 2018-12-11 | 2019-02-18 | 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 | 2018-12-11 | 2019-02-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-11 | 2019-02-18 | 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 and emergencies. | Health | 2018-12-11 | 2019-02-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-12-11 | 2019-02-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-11 | 2019-02-18 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-08-11 | 2017-11-14 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-11 | 2017-11-14 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-08-11 | 2017-11-14 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-11 | 2017-11-14 | N |
| Make sure that doctors visit residents regularly, as required. | Health | 2017-08-11 | 2017-11-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-08-11 | 2017-11-14 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-11 | 2017-11-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-08-11 | 2017-11-14 | 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 | 2017-09-25 | 2017-11-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-09-25 | 2017-11-07 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-08-11 | 2017-10-26 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-08-11 | 2017-10-26 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-11 | 2017-10-26 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-08-11 | 2017-10-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-08-11 | 2017-10-26 | 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 | 2017-08-11 | 2017-10-26 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-08-11 | 2017-10-26 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-11 | 2017-10-26 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-11 | 2017-10-26 | N |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2017-08-11 | 2017-10-26 | N |
