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Deficiency Records for Autumn Lake Healthcare at Chesapeake Woods
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Chesapeake Woods. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Chesapeake Woods. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-12-19 | 2026-02-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-12-19 | 2026-02-27 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2025-12-19 | 2026-02-27 | 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 | 2025-12-19 | 2026-02-27 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-12-19 | 2026-02-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-19 | 2026-02-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-12-19 | 2026-02-27 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-12-19 | 2026-02-27 | 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 | 2025-12-19 | 2026-02-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-19 | 2026-02-27 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2025-12-19 | 2026-02-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-19 | 2026-02-27 | N |
| Keep all essential equipment working safely. | Health | 2025-12-19 | 2026-02-27 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-12-19 | 2026-02-27 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2025-12-19 | 2026-02-27 | N |
| Respond appropriately to all alleged violations. | Health | 2025-12-19 | 2026-02-27 | 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 | 2025-12-19 | 2026-01-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-12-19 | 2026-01-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-12-19 | 2026-01-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-12-19 | 2026-01-30 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-12-19 | 2026-01-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-19 | 2026-01-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-12-19 | 2026-01-30 | N |
| Install proper backup exit lighting. | Fire Safety | 2025-12-19 | 2026-01-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-12-19 | 2026-01-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-19 | 2025-02-26 | 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 | 2024-03-05 | 2024-04-30 | 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 | 2024-03-05 | 2024-04-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-05 | 2024-04-30 | 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 | 2024-03-05 | 2024-04-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-05 | 2024-04-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-03-05 | 2024-04-30 | 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 | 2024-03-05 | 2024-04-30 | 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 | 2024-03-05 | 2024-04-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-05 | 2024-04-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-05 | 2024-04-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-05 | 2024-04-30 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-03-05 | 2024-04-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-05 | 2024-04-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-05 | 2024-04-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-05 | 2024-04-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-03-05 | 2024-04-30 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2024-03-05 | 2024-04-30 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-03-05 | 2024-04-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-03-05 | 2024-04-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-05 | 2024-04-23 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-03-05 | 2024-04-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-03-05 | 2024-04-23 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-03-05 | 2024-04-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-03-05 | 2024-04-23 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-03-05 | 2024-04-23 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-03-05 | 2024-04-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-05 | 2024-04-23 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-03-05 | 2024-04-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-03-05 | 2024-04-23 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-03-05 | 2024-04-23 | N |
| 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 | 2024-03-05 | 2024-04-23 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-03-05 | 2024-04-23 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-03-05 | 2024-04-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-05 | 2024-04-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-05 | 2024-04-23 | 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 | 2024-03-05 | 2024-04-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-03-29 | 2019-08-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-03-29 | 2019-08-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-03-29 | 2019-08-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-29 | 2019-08-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-03-29 | 2019-08-10 | N |
| Keep all essential equipment working safely. | 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 |
| 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 |
| 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 |
| 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 medication error rates are not 5 percent or greater. | 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 |
| Observe each nurse aide's job performance and give regular training. | 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 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 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 |
| Ensure each resident receives an accurate assessment. | 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 |
| Respond appropriately to all alleged violations. | Health | 2019-03-29 | 2019-05-29 | 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 |