Deficiency Records for Autumn Lake Healthcare at Overlea
Updated as of December 01, 2018
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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-06-26 | 2018-08-24 | Y |
| 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 | 2018-06-26 | 2018-08-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-06-26 | 2018-08-24 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-06-26 | 2018-08-24 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-06-26 | 2018-08-24 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-06-26 | 2018-08-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-26 | 2018-08-24 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-06-26 | 2018-08-24 | Y |
| 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 | 2018-06-26 | 2018-08-24 | Y |
| 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 | 2018-01-29 | 2018-04-01 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-01-29 | 2018-04-01 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-01-17 | 2018-03-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-29 | 2018-01-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-11-21 | 2018-01-09 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-11-21 | 2018-01-09 | Y |
| 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 | 2017-06-06 | 2017-09-07 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2017-06-06 | 2017-09-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-06-06 | 2017-09-07 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2017-06-06 | 2017-09-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-06-06 | 2017-09-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-05-18 | 2017-08-01 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-05-18 | 2017-08-01 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-05-18 | 2017-08-01 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-05-18 | 2017-08-01 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-18 | 2017-08-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-18 | 2017-08-01 | Y |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-05-18 | 2017-08-01 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-05-18 | 2017-08-01 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-05-18 | 2017-08-01 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-18 | 2017-08-01 | Y |
| Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers. | Health | 2017-05-18 | 2017-08-01 | Y |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-05-18 | 2017-08-01 | Y |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2017-05-18 | 2017-08-01 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-04-11 | 2017-06-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-01-19 | 2017-02-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-01-19 | 2016-11-01 | Y |
| 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 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2015-03-23 | 2015-05-05 | 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 | 2015-03-23 | 2015-05-05 | N |
| Provide housekeeping and maintenance services. | Health | 2015-03-23 | 2015-05-05 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-03-23 | 2015-05-05 | N |
| 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 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-03-23 | 2015-05-05 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-03-23 | 2015-05-05 | N |
| Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | Health | 2015-03-23 | 2015-05-05 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-03-23 | 2015-05-05 | 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 | 2015-03-23 | 2015-05-05 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2015-03-23 | 2015-05-05 | N |
| 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 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2015-03-23 | 2015-05-05 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-03-23 | 2015-05-05 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-03-23 | 2015-05-05 | N |
| 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 | N |
| 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 |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2016-10-24 | Not Fixed | Y |
