Deficiency Records for Autumn Lake Healthcare at Overlea
Updated as of January 01, 2020
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? |
---|---|---|---|---|
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-02-15 | 2019-04-12 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-02-15 | 2019-04-12 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-15 | 2019-04-12 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2019-02-15 | 2019-04-12 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-02-15 | 2019-04-12 | Y |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-02-15 | 2019-04-12 | Y |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-02-15 | 2019-04-12 | Y |
Meet other general requirements. | Fire Safety | 2018-12-06 | 2018-12-30 | N |
Provide properly protected cooking facilities. | Fire Safety | 2018-12-06 | 2018-12-30 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-12-06 | 2018-12-30 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-12-06 | 2018-12-30 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-12-06 | 2018-12-30 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-12-06 | 2018-12-30 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-06 | 2018-12-30 | N |
Meet other general requirements that are deficient. | Fire Safety | 2018-12-06 | 2018-12-30 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2018-12-06 | 2018-12-30 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-31 | 2018-11-05 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2018-08-31 | 2018-11-05 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-08-31 | 2018-11-05 | N |
Keep residents' personal and medical records private and confidential. | Health | 2018-08-31 | 2018-11-05 | 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 | 2018-08-31 | 2018-11-05 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-31 | 2018-11-05 | N |
Assess the resident when there is a significant change in condition | Health | 2018-08-31 | 2018-11-05 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-31 | 2018-11-05 | 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 | 2018-08-31 | 2018-11-05 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-08-31 | 2018-11-05 | N |
Honor each resident's preferences, choices, values and beliefs. | Health | 2018-08-31 | 2018-11-05 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-08-31 | 2018-11-05 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-31 | 2018-11-05 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-31 | 2018-11-05 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2018-08-31 | 2018-11-05 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-31 | 2018-11-05 | N |
Provide appropriate foot care. | Health | 2018-08-31 | 2018-11-05 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-31 | 2018-11-05 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2018-08-31 | 2018-11-05 | N |
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2018-08-31 | 2018-11-05 | 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 | 2018-08-31 | 2018-11-05 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-08-31 | 2018-11-05 | 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 | 2018-08-31 | 2018-11-05 | N |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-08-31 | 2018-11-05 | N |
Provide or obtain dental services for each resident. | Health | 2018-08-31 | 2018-11-05 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-31 | 2018-11-05 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-31 | 2018-11-05 | N |
Implement a program that monitors antibiotic use. | Health | 2018-08-31 | 2018-11-05 | N |
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 | 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 | 2016-06-17 | 2016-08-03 | N |
Post nurse staffing information/data on a daily basis. | Health | 2016-06-17 | 2016-08-03 | N |
Provide routine and 24-hour emergency dental care for each resident. | Health | 2016-06-17 | 2016-08-03 | N |