Deficiency Records for Autumn Lake Healthcare at Chesapeake Woods
Updated as of April 01, 2024
A list of the most recent deficiencies for Autumn Lake Healthcare at Chesapeake Woods. 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 safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-02 | 2022-04-29 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-12-02 | 2022-04-29 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-25 | 2019-08-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-25 | 2019-08-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-06-25 | 2019-08-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-25 | 2019-08-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-06-25 | 2019-08-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-29 | 2019-05-29 | N |
| Respond appropriately to all alleged violations. | Health | 2019-03-29 | 2019-05-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-29 | 2019-05-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-29 | 2019-05-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-29 | 2019-05-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-29 | 2019-05-29 | 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 | 2019-03-29 | 2019-05-29 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-03-29 | 2019-05-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-29 | 2019-05-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-29 | 2019-05-29 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-03-29 | 2019-05-29 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2019-03-29 | 2019-05-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-29 | 2019-05-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-29 | 2019-05-29 | N |
| Keep all essential equipment working safely. | Health | 2019-03-29 | 2019-05-29 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-11-03 | 2017-12-18 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-11-03 | 2017-12-18 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-11-03 | 2017-12-18 | 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 | 2017-11-03 | 2017-12-18 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-11-03 | 2017-12-18 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-11-03 | 2017-12-18 | N |
| Keep all essential equipment working safely. | Health | 2017-11-03 | 2017-12-18 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-11-03 | 2017-12-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-09-21 | 2017-10-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-09-21 | 2017-10-05 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-09-19 | 2016-11-23 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-09-23 | 2016-11-07 | 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 | 2016-09-23 | 2016-11-04 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-09-23 | 2016-11-04 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-09-19 | 2016-10-31 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-09-19 | 2016-10-31 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-09-19 | 2016-10-31 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-09-19 | 2016-10-31 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-09-19 | 2016-10-31 | N |
