Deficiency Records for Autumn Lake Healthcare at Bridgepark
Updated as of October 01, 2018
This is not the most recent data for Autumn Lake Healthcare at Bridgepark. For the most recent information, click here.
A list of the most recent deficiencies for Autumn Lake Healthcare at Bridgepark. 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? |
|---|---|---|---|---|
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-02-12 | 2018-03-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-10-12 | 2017-11-28 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-10-12 | 2017-11-28 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-12 | 2017-11-28 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-10-12 | 2017-11-28 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2017-10-12 | 2017-11-28 | Y |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-10-12 | 2017-11-28 | Y |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-10-12 | 2017-11-28 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-10-12 | 2017-11-28 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-08-14 | 2017-09-15 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-08-14 | 2017-09-15 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-08-14 | 2017-09-15 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-08-14 | 2017-09-15 | Y |
| Provide housekeeping and maintenance services. | Health | 2017-08-14 | 2017-09-15 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-08-14 | 2017-09-15 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-08-14 | 2017-09-15 | Y |
| 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 | 2017-08-14 | 2017-09-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-14 | 2017-09-15 | Y |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-08-14 | 2017-09-15 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-14 | 2017-09-15 | Y |
| Make sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor. | Health | 2017-08-14 | 2017-09-15 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-14 | 2017-09-15 | Y |
| Operate and provide services according to Federal, State, and local laws and professional standards. | Health | 2017-08-14 | 2017-09-15 | Y |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-08-14 | 2017-09-15 | Y |
| Ensure laboratory services, blood blanks and transfusion services provided on site meet requirements for certified laboratories; or have an agreement to obtain services from an offsite laboratory, that meets the same requirements. | Health | 2017-08-14 | 2017-09-15 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-14 | 2017-09-15 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-02-21 | 2017-03-13 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-21 | 2017-03-13 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-02-21 | 2017-03-13 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2016-11-14 | 2016-12-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2016-11-14 | 2016-12-29 | N |
| Ensure medical gas and air supply systems in which failure is likely to cause major injury or death, are correctly designated. | Fire Safety | 2016-11-14 | 2016-12-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-10-25 | 2016-11-17 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-10-25 | 2016-11-17 | Y |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2016-10-25 | 2016-11-17 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2016-09-20 | 2016-11-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-09-20 | 2016-11-04 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2016-09-20 | 2016-11-04 | Y |
| 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 | 2016-09-20 | 2016-11-04 | Y |
| Provide housekeeping and maintenance services. | Health | 2016-09-20 | 2016-11-04 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-09-20 | 2016-11-04 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-09-20 | 2016-11-04 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-09-20 | 2016-11-04 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-09-20 | 2016-11-04 | Y |
| Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | Health | 2016-09-20 | 2016-11-04 | Y |
| 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 | 2016-09-20 | 2016-11-04 | Y |
| Make sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor. | Health | 2016-09-20 | 2016-11-04 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-09-20 | 2016-11-04 | Y |
| Keep all essential equipment working safely. | Health | 2016-09-20 | 2016-11-04 | Y |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-09-20 | 2016-11-04 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-09-20 | 2016-11-04 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-05-11 | 2016-05-24 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-05-11 | 2016-05-24 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-02-03 | 2016-03-18 | Y |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2016-02-03 | 2016-03-18 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-02-03 | 2016-03-18 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-03 | 2016-03-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-02-03 | 2016-03-18 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-03 | 2016-03-18 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-02-03 | 2016-03-18 | Y |
| Corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2015-08-18 | 2015-10-30 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-08-18 | 2015-10-30 | N |
| Corridors that are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2015-08-18 | 2015-10-03 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-08-18 | 2015-10-03 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-08-18 | 2015-10-03 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2015-08-06 | 2015-09-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-08-06 | 2015-09-20 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2015-08-06 | 2015-09-20 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-08-06 | 2015-09-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-08-06 | 2015-09-20 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2015-08-06 | 2015-09-20 | N |
| Provide housekeeping and maintenance services. | Health | 2015-08-06 | 2015-09-20 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-08-06 | 2015-09-20 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-08-06 | 2015-09-20 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-08-06 | 2015-09-20 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-08-06 | 2015-09-20 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-08-06 | 2015-09-20 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-08-06 | 2015-09-20 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2015-08-06 | 2015-09-20 | 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 | 2015-08-06 | 2015-09-20 | N |
| Make sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor. | Health | 2015-08-06 | 2015-09-20 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2015-08-06 | 2015-09-20 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-08-06 | 2015-09-20 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2016-10-11 | Not Fixed | Y |
