Deficiency Records for Autumn Lake Healthcare at Bridgepark
Updated as of May 01, 2020
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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2019-08-02 | 2019-10-31 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-02 | 2019-10-31 | Y |
| Ensure resident rooms meet each resident's needs. | Health | 2019-08-02 | 2019-10-31 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2019-05-01 | 2019-05-18 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-17 | 2019-03-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-12-17 | 2019-01-24 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-12-17 | 2019-01-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-12-17 | 2019-01-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-12-17 | 2019-01-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-12-17 | 2019-01-24 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2018-12-17 | 2019-01-24 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-11-29 | 2019-01-14 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-11-29 | 2019-01-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-11-29 | 2019-01-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-29 | 2019-01-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-29 | 2019-01-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-29 | 2019-01-14 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-11-29 | 2019-01-14 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-11-29 | 2019-01-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-11-29 | 2019-01-14 | 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 ne | Health | 2018-11-29 | 2019-01-14 | 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 | 2018-11-29 | 2019-01-14 | N |
| Provide or obtain dental services for each resident. | Health | 2018-11-29 | 2019-01-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-29 | 2019-01-14 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2018-11-29 | 2019-01-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-29 | 2019-01-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-29 | 2019-01-14 | N |
| Keep all essential equipment working safely. | Health | 2018-11-29 | 2019-01-14 | N |
| Have policies on smoking. | Health | 2018-11-29 | 2019-01-14 | 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 | 2018-07-05 | 2018-08-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-05 | 2018-08-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-05 | 2018-08-16 | Y |
| Provide appropriate foot care. | Health | 2018-07-05 | 2018-08-16 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-07-05 | 2018-08-16 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-07-05 | 2018-08-16 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-07-05 | 2018-08-16 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2018-07-05 | 2018-08-16 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-07-05 | 2018-08-16 | Y |
| 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 |
| 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 |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2016-09-20 | 2016-11-04 | N |
| 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 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2016-09-20 | 2016-11-04 | 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 | 2016-09-20 | 2016-11-04 | N |
| Provide housekeeping and maintenance services. | Health | 2016-09-20 | 2016-11-04 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-09-20 | 2016-11-04 | N |
| 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 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-09-20 | 2016-11-04 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-09-20 | 2016-11-04 | N |
| Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | Health | 2016-09-20 | 2016-11-04 | 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 | 2016-09-20 | 2016-11-04 | 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 | 2016-09-20 | 2016-11-04 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-09-20 | 2016-11-04 | N |
| Keep all essential equipment working safely. | Health | 2016-09-20 | 2016-11-04 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-09-20 | 2016-11-04 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-09-20 | 2016-11-04 | N |
