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Deficiency Records for Autumn Lake Healthcare at Glen Burnie
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Glen Burnie. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Glen Burnie. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2025-02-27 | 2025-04-30 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-02-27 | 2025-04-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-02-27 | 2025-04-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-02-27 | 2025-04-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-02-27 | 2025-04-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-02-27 | 2025-04-30 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2025-02-27 | 2025-04-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-02-27 | 2025-04-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-02-27 | 2025-04-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-27 | 2025-04-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-02-27 | 2025-04-30 | 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 | 2025-02-27 | 2025-04-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-02-27 | 2025-04-30 | N |
| Provide training in compliance and ethics. | Health | 2025-02-27 | 2025-04-11 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2025-02-27 | 2025-04-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-02-27 | 2025-04-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-27 | 2025-04-11 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-02-27 | 2025-04-11 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2025-02-27 | 2025-04-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-02-27 | 2025-04-11 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2025-02-27 | 2025-04-11 | N |
| Provide or obtain dental services for each resident. | Health | 2025-02-27 | 2025-04-11 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2025-02-27 | 2025-04-11 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2025-02-27 | 2025-04-11 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-02-27 | 2025-04-11 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2025-02-27 | 2025-04-11 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-02-27 | 2025-04-11 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-02-27 | 2025-04-11 | 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 | 2025-02-27 | 2025-04-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-27 | 2025-04-11 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-27 | 2025-04-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-02-27 | 2025-04-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-02-27 | 2025-04-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-02-27 | 2025-04-11 | Y |
| Provide activities to meet all resident's needs. | Health | 2025-02-27 | 2025-04-11 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-02-27 | 2025-04-11 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-02-27 | 2025-04-11 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-02-27 | 2025-04-11 | 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 | 2025-02-27 | 2025-04-11 | 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 | 2025-02-27 | 2025-04-11 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-02-27 | 2025-04-11 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-02-27 | 2025-04-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-02-27 | 2025-04-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-27 | 2025-04-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-02-27 | 2025-04-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-02-27 | 2025-04-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-02-27 | 2025-04-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-03 | 2023-09-29 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-08-03 | 2023-09-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-03 | 2023-09-29 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-08-03 | 2023-09-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-03 | 2023-09-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-03 | 2023-09-29 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-08-03 | 2023-09-29 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-08-03 | 2023-09-29 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-03 | 2023-09-29 | Y |
| Provide appropriate foot care. | Health | 2023-08-03 | 2023-09-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-03 | 2023-09-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-03 | 2023-09-29 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-08-03 | 2023-09-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-03 | 2023-09-29 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-03 | 2023-09-29 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-12-11 | 2020-01-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-12-11 | 2020-01-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-11 | 2020-01-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-12-11 | 2020-01-21 | 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 | 2019-12-11 | 2020-01-21 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-12-11 | 2020-01-21 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-12-11 | 2020-01-21 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-12-11 | 2020-01-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-12-11 | 2020-01-21 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-12-11 | 2020-01-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-11 | 2020-01-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-12-11 | 2020-01-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-11 | 2020-01-21 | N |
| Keep all essential equipment working safely. | Health | 2019-12-11 | 2020-01-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-12-11 | 2020-01-21 | N |
| Post nurse staffing information every day. | Health | 2019-12-11 | 2020-01-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-11 | 2020-01-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-11 | 2020-01-21 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2019-12-11 | 2020-01-21 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2019-12-11 | 2020-01-21 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-12-11 | 2020-01-21 | 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 | 2019-12-11 | 2020-01-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-12-11 | 2020-01-21 | 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 | 2019-12-11 | 2020-01-21 | N |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2019-12-11 | 2020-01-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-12-11 | 2020-01-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-12-11 | 2020-01-21 | 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 | 2019-12-11 | 2020-01-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-11 | 2020-01-21 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-12-11 | 2020-01-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-11 | 2020-01-21 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-12-11 | 2020-01-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-12-11 | 2020-01-21 | N |
| Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist. | Health | 2019-12-11 | 2020-01-21 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-12-11 | 2019-12-07 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-12-11 | 2019-12-07 | 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 | 2019-12-11 | 2019-12-07 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2019-12-11 | 2019-12-07 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-12-11 | 2019-12-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-11 | 2019-12-07 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-12-11 | 2019-12-07 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-12-11 | 2019-12-07 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-12-11 | 2019-12-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-11 | 2019-12-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-11 | 2019-12-07 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-06-15 | 2018-07-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-15 | 2018-07-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-06-15 | 2018-07-30 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-06-15 | 2018-07-30 | N |
| Post nurse staffing information every day. | Health | 2018-06-15 | 2018-07-30 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2018-06-15 | 2018-07-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-06-15 | 2018-07-30 | 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 | 2018-06-15 | 2018-07-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-06-15 | 2018-07-30 | 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 | 2018-06-15 | 2018-07-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-06-15 | 2018-07-30 | N |
| Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2018-06-15 | 2018-07-30 | N |
| Keep complete, dated laboratory records in the resident's record. | Health | 2018-06-15 | 2018-07-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-15 | 2018-07-30 | N |
| Dispose of garbage and refuse properly. | Health | 2018-06-15 | 2018-07-30 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2018-06-15 | 2018-07-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-06-15 | 2018-07-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-15 | 2018-07-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-06-15 | 2018-07-30 | N |
| Keep all essential equipment working safely. | Health | 2018-06-15 | 2018-07-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-06-15 | 2018-07-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-06-15 | 2018-07-30 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-06-15 | 2018-07-30 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-06-15 | 2018-07-30 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-06-15 | 2018-07-30 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2018-06-15 | 2018-07-30 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-06-15 | 2018-07-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-06-15 | 2018-07-30 | 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 | 2018-06-15 | 2018-07-30 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2018-06-15 | 2018-07-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-15 | 2018-07-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-06-15 | 2018-07-30 | N |
| Respond appropriately to all alleged violations. | Health | 2018-06-15 | 2018-07-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-06-15 | 2018-07-30 | 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 | 2018-06-15 | 2018-07-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-06-15 | 2018-07-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-06-15 | 2018-07-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-15 | 2018-07-30 | 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 | 2018-06-15 | 2018-07-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-15 | 2018-07-30 | N |