Deficiency Records for Autumn Lake Healthcare at Overlea
Updated as of September 01, 2016
This is not the most recent data for Autumn Lake Healthcare at Overlea. For the most recent information, click here.
A list of the most recent deficiencies for Autumn Lake Healthcare at Overlea. 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 necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-06-17 | 2016-08-03 | 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 | 2016-06-17 | 2016-08-03 | Y |
| Post nurse staffing information/data on a daily basis. | Health | 2016-06-17 | 2016-08-03 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2016-06-17 | 2016-08-03 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-03-10 | 2016-04-23 | Y |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2015-03-23 | 2015-05-05 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2015-03-23 | 2015-05-05 | 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 | 2015-03-23 | 2015-05-05 | Y |
| Provide housekeeping and maintenance services. | Health | 2015-03-23 | 2015-05-05 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-03-23 | 2015-05-05 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-03-23 | 2015-05-05 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-03-23 | 2015-05-05 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-03-23 | 2015-05-05 | Y |
| Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | Health | 2015-03-23 | 2015-05-05 | Y |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-03-23 | 2015-05-05 | 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 | 2015-03-23 | 2015-05-05 | Y |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2015-03-23 | 2015-05-05 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2015-03-23 | 2015-05-05 | Y |
| Post nurse staffing information/data on a daily basis. | Health | 2015-03-23 | 2015-05-05 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-03-23 | 2015-05-05 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-03-23 | 2015-05-05 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-03-23 | 2015-05-05 | Y |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2015-03-23 | 2015-05-05 | Y |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2015-02-23 | 2015-03-31 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-02-23 | 2015-03-31 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-02-23 | 2015-03-31 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-02-23 | 2015-03-31 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-02-23 | 2015-03-31 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-10-23 | 2014-11-07 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2014-07-02 | 2014-08-04 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2014-04-16 | 2014-06-24 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-04-16 | 2014-06-24 | N |
| Exit stairways and towers that are smoke proof. | Fire Safety | 2014-04-16 | 2014-06-24 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2014-04-16 | 2014-06-24 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2014-04-16 | 2014-06-24 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-04-16 | 2014-06-24 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2014-04-16 | 2014-06-24 | N |
| Restrictions on the use of highly flammable decorations. | Fire Safety | 2014-04-16 | 2014-06-24 | N |
| Properly sized and located linen or trash receptacles. | Fire Safety | 2014-04-16 | 2014-06-24 | N |
| Other fire safety features required by fire safety codes. | Fire Safety | 2014-04-16 | 2014-06-24 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-04-16 | 2014-06-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-03-13 | 2014-05-15 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-03-13 | 2014-05-15 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-03-13 | 2014-05-15 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2014-03-13 | 2014-05-15 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2014-03-13 | 2014-05-05 | 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 | 2014-03-13 | 2014-05-05 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-03-13 | 2014-05-05 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2014-03-13 | 2014-05-05 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-03-13 | 2014-05-05 | 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 | 2014-03-13 | 2014-05-05 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2014-03-13 | 2014-05-05 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2014-03-13 | 2014-05-05 | 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 | 2014-03-13 | 2014-05-05 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2014-03-13 | 2014-05-05 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2014-03-13 | 2014-05-05 | 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 | 2014-03-13 | 2014-05-05 | Y |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2014-03-13 | 2014-05-05 | Y |
| Provide housekeeping and maintenance services. | Health | 2013-09-24 | 2013-10-28 | Y |
| Provide adequate and comfortable lighting levels in all areas. | Health | 2013-09-24 | 2013-10-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-09-24 | 2013-10-28 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-09-24 | 2013-10-28 | Y |
| Dispose of garbage and refuse properly. | Health | 2013-09-24 | 2013-10-28 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-09-24 | 2013-10-28 | Y |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2013-09-24 | 2013-10-28 | Y |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2013-04-30 | 2013-06-21 | N |
| Properly constructed linen or trash chutes. | Fire Safety | 2013-04-30 | 2013-06-21 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2013-04-30 | 2013-06-21 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2013-04-10 | 2013-05-20 | 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 | 2013-04-10 | 2013-05-20 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2013-04-10 | 2013-05-20 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2013-04-10 | 2013-05-20 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2013-04-10 | 2013-05-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2013-04-10 | 2013-05-20 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2013-04-10 | 2013-05-20 | 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 | 2013-04-10 | 2013-05-20 | N |
| Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. | Health | 2013-04-10 | 2013-05-20 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-04-10 | 2013-05-20 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2013-04-10 | 2013-05-20 | 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 | 2013-04-10 | 2013-05-20 | 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 | 2013-04-10 | 2013-05-20 | N |
| Provide or obtain dental services for each resident. | Health | 2013-04-10 | 2013-05-20 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2013-04-10 | 2013-05-20 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2013-04-10 | 2013-05-20 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2013-04-10 | 2013-05-20 | N |
| Provide written records when a resident is transferred or discharged. | Health | 2014-01-15 | Not Fixed | Y |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2014-01-15 | Not Fixed | Y |
