CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Autumn Lake Healthcare at Waugh Chapel
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Waugh Chapel. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Waugh Chapel. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-11-19 | 2025-12-30 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-03-17 | 2025-05-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-03-17 | 2025-05-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-03-17 | 2025-05-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-03-17 | 2025-05-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-03-17 | 2025-05-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-03-17 | 2025-05-02 | N |
| Enure that solid fuel-burning fireplaces are not in patient sleeping areas. | Fire Safety | 2025-03-17 | 2025-05-02 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-03-17 | 2025-05-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-17 | 2025-05-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-03-17 | 2025-05-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-03-17 | 2025-05-02 | 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 | 2025-03-17 | 2025-05-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-03-17 | 2025-04-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-03-17 | 2025-04-23 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-17 | 2025-04-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-03-17 | 2025-04-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-17 | 2025-04-23 | 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 | 2025-03-17 | 2025-04-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-03-17 | 2025-04-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-17 | 2025-04-23 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2020-02-03 | 2020-08-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-03 | 2020-08-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-03 | 2020-08-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-02-03 | 2020-08-27 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2020-02-03 | 2020-08-27 | 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 | 2020-02-03 | 2020-03-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-03 | 2020-03-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-03 | 2020-03-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-03 | 2020-03-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-03 | 2020-03-07 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-02-03 | 2020-03-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-02-03 | 2020-03-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-03 | 2020-03-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-03 | 2020-03-07 | N |
| Respond appropriately to all alleged violations. | Health | 2020-02-03 | 2020-03-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-03 | 2020-03-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-01 | 2018-09-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-01 | 2018-09-13 | N |
| Provide appropriate foot care. | Health | 2018-08-01 | 2018-09-13 | 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 | 2018-08-01 | 2018-09-13 | N |
| Keep all essential equipment working safely. | Health | 2018-08-01 | 2018-09-13 | N |