Deficiency Records for Autumn Lake Healthcare at Parkville
Updated as of February 01, 2021
This is not the most recent data for Autumn Lake Healthcare at Parkville. For the most recent information, click here.
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 enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2020-09-30 | 2020-11-17 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2020-09-30 | 2020-11-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-09-30 | 2020-11-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-30 | 2020-11-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-09-18 | 2020-11-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-09-18 | 2020-11-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-09-18 | 2020-11-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-09-18 | 2020-11-13 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-09-18 | 2020-11-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-09-18 | 2020-11-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-08-28 | 2020-10-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-09-18 | 2020-02-05 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-03-12 | 2019-04-26 | 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 | 2019-03-12 | 2019-04-26 | 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 | 2019-03-12 | 2019-04-26 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-12 | 2019-04-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-12 | 2019-04-26 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-03-12 | 2019-04-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-12 | 2019-04-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-12 | 2019-04-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-12 | 2019-04-26 | 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 |
| Provide and implement an infection prevention and control program. | 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 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-11 | 2019-02-18 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-10-19 | 2018-10-22 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-02-13 | 2018-04-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-28 | 2018-01-04 | Y |
| 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 |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2016-07-11 | 2016-08-25 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-07-11 | 2016-08-25 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-07-11 | 2016-08-25 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-07-11 | 2016-08-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-07-11 | 2016-08-25 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-06-16 | 2016-07-31 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-06-16 | 2016-07-31 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-06-16 | 2016-07-31 | N |
| Properly sized and located linen or trash receptacles. | Fire Safety | 2016-06-16 | 2016-07-31 | N |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2016-06-16 | 2016-07-31 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-06-16 | 2016-07-31 | N |
