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Deficiency Records for Autumn Lake Healthcare at Braddock Heights
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Braddock Heights. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Braddock Heights. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2026-01-23 | 2026-02-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-01-23 | 2026-02-27 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2026-01-23 | 2026-02-27 | Y |
| Use approved construction type or materials. | Fire Safety | 2024-08-16 | 2024-10-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-16 | 2024-10-04 | 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 | 2024-08-16 | 2024-10-04 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-08-16 | 2024-10-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-16 | 2024-10-04 | 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 | 2024-08-16 | 2024-10-04 | 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 | 2024-08-16 | 2024-10-04 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-16 | 2024-10-04 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-08-16 | 2024-09-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-08-16 | 2024-09-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-16 | 2024-09-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-08-16 | 2024-09-10 | 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 | 2019-06-27 | 2019-08-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-27 | 2019-08-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-27 | 2019-08-07 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-06-27 | 2019-08-07 | 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 | 2019-06-27 | 2019-08-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-27 | 2019-08-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-06-27 | 2019-08-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-06-27 | 2019-08-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-06-27 | 2019-08-07 | N |
| Respond appropriately to all alleged violations. | Health | 2019-06-27 | 2019-08-07 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-06-27 | 2019-08-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-06-27 | 2019-08-07 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-06-27 | 2019-08-07 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-06-27 | 2019-08-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-06-27 | 2019-08-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-06-27 | 2019-08-07 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2019-06-27 | 2019-08-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-27 | 2019-07-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-06-27 | 2019-07-24 | 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 | 2019-06-27 | 2019-07-24 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-02-27 | 2018-04-09 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2018-02-27 | 2018-04-09 | N |
| Have enough backup water supply for essential areas of the nursing home. | Health | 2018-02-27 | 2018-04-09 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-02-27 | 2018-04-09 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-02-27 | 2018-04-09 | 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 necessary and PRN use is limited. | Health | 2018-02-27 | 2018-04-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-02-27 | 2018-04-09 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-02-27 | 2018-04-09 | 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 | 2018-02-27 | 2018-04-09 | 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 | 2018-02-27 | 2018-04-09 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-02-27 | 2018-04-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-27 | 2018-04-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-02-27 | 2018-04-09 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-02-27 | 2018-04-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-27 | 2018-04-09 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-02-27 | 2018-04-09 | N |
| Keep all essential equipment working safely. | Health | 2018-02-27 | 2018-04-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-02-27 | 2018-04-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-02-27 | 2018-04-09 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-02-27 | 2018-04-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-02-27 | 2018-04-09 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-02-27 | 2018-04-09 | N |
| 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 | 2018-02-27 | 2018-04-09 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-02-27 | 2018-04-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-02-27 | 2018-04-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-02-27 | 2018-04-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-27 | 2018-04-09 | 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 | 2018-02-27 | 2018-04-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-02-27 | 2018-04-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-02-27 | 2018-04-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-02-27 | 2018-04-09 | 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 | 2018-02-27 | 2018-03-24 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-02-27 | 2018-03-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-02-27 | 2018-03-24 | N |
| Use approved construction type or materials. | Fire Safety | 2019-06-27 | Not Fixed | N |