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Deficiency Records for Advanced Rehab at Autumn Lake Healthcare
View the most recent health deficiencies and inspection results for Advanced Rehab at Autumn Lake Healthcare. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Advanced Rehab at Autumn Lake Healthcare. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-12-11 | 2026-03-31 | 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 | 2025-12-11 | 2026-03-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-12-11 | 2026-03-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-12-11 | 2026-03-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-11 | 2026-03-31 | N |
| Meet other general requirements. | Fire Safety | 2025-12-11 | 2026-03-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-12-11 | 2026-01-26 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-12-11 | 2026-01-26 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2025-12-11 | 2026-01-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-12-11 | 2026-01-26 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-12-11 | 2026-01-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-12-11 | 2026-01-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-12-11 | 2026-01-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-12-11 | 2026-01-26 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2025-12-11 | 2026-01-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-12-11 | 2026-01-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-11 | 2026-01-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-11 | 2026-01-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-12-11 | 2026-01-26 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-06-28 | 2024-10-03 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2024-06-28 | 2024-10-03 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2024-06-28 | 2024-10-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-06-28 | 2024-10-03 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-06-28 | 2024-10-03 | 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 | 2024-06-28 | 2024-10-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-28 | 2024-10-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-06-28 | 2024-10-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-28 | 2024-10-03 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-06-28 | 2024-10-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-28 | 2024-10-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-06-28 | 2024-10-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-06-28 | 2024-10-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-06-28 | 2024-10-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-28 | 2024-10-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-28 | 2024-10-03 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-06-28 | 2024-10-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-28 | 2024-08-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-28 | 2024-08-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-28 | 2024-08-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-28 | 2024-08-14 | N |
| Respond appropriately to all alleged violations. | Health | 2024-06-28 | 2024-08-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-28 | 2024-08-14 | Y |
| Provide or obtain dental services for each resident. | Health | 2024-06-28 | 2024-08-14 | 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 | 2024-06-28 | 2024-08-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-28 | 2024-08-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-28 | 2024-08-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-06-28 | 2024-08-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-06-28 | 2024-08-14 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-06-28 | 2024-08-14 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-06-28 | 2024-08-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-11 | 2024-02-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-11 | 2024-01-08 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-03 | 2019-09-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-03 | 2019-09-30 | 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 | 2019-09-03 | 2019-09-30 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-09-03 | 2019-09-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-09-03 | 2019-09-30 | 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 | 2019-09-03 | 2019-09-30 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-09-03 | 2019-09-30 | N |