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Deficiency Records for Autumn Lake Healthcare at Glade Valley
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Glade Valley. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Glade Valley. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-23 | 2026-04-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-01-23 | 2026-04-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2026-01-23 | 2026-04-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-01-23 | 2026-04-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-01-23 | 2026-04-01 | 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 | 2025-05-01 | 2025-07-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-05-01 | 2025-07-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-01 | 2025-07-16 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2025-05-01 | 2025-07-16 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-05-01 | 2025-07-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-01 | 2025-07-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-05-01 | 2025-07-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-05-01 | 2025-07-16 | 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 | 2025-05-01 | 2025-06-06 | 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 | 2025-05-01 | 2025-06-06 | 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 | 2025-05-01 | 2025-06-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-05-01 | 2025-06-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-05-01 | 2025-06-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-01 | 2025-06-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-05-01 | 2025-06-06 | 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 | 2025-05-01 | 2025-06-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-05-01 | 2025-06-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-05-01 | 2025-06-06 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-05-01 | 2025-06-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-01 | 2025-06-06 | 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 necessary and PRN use is limited. | Health | 2025-05-01 | 2025-06-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-05-01 | 2025-06-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-01 | 2025-06-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-05-01 | 2025-06-06 | Y |
| 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 | 2025-05-01 | 2025-06-06 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2025-05-01 | 2025-06-06 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-05-01 | 2025-06-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-05-01 | 2025-06-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-05-01 | 2025-06-06 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-05-01 | 2025-06-06 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-05-01 | 2025-06-06 | 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 | 2025-05-01 | 2025-06-06 | 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 | 2025-05-01 | 2025-06-06 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-05-01 | 2025-06-06 | 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 | 2025-05-01 | 2025-06-06 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-05-01 | 2025-06-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-05-01 | 2025-06-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-05-01 | 2025-06-06 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-11-15 | 2024-02-06 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-11-15 | 2024-02-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-15 | 2024-02-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-15 | 2024-02-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-15 | 2021-11-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-15 | 2021-11-19 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2021-10-15 | 2021-11-19 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-10-15 | 2021-11-19 | N |
| Post nurse staffing information every day. | Health | 2021-10-15 | 2021-11-19 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2021-10-15 | 2021-11-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-15 | 2021-11-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-10-15 | 2021-11-19 | 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 | 2021-10-15 | 2021-11-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-10-15 | 2021-11-19 | 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 | 2021-10-15 | 2021-11-19 | 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 | 2021-10-15 | 2021-11-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-15 | 2021-11-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-15 | 2021-11-19 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-10-15 | 2021-11-19 | 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 | 2021-10-15 | 2021-11-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-10-15 | 2021-11-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-10-15 | 2021-11-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-15 | 2021-11-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-15 | 2021-11-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-15 | 2021-11-19 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-10-15 | 2021-11-19 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-10-15 | 2021-11-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-15 | 2021-11-19 | 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 | 2021-10-15 | 2021-11-19 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-10-15 | 2021-11-19 | 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 | 2021-10-15 | 2021-11-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-15 | 2021-11-19 | N |
| Respond appropriately to all alleged violations. | Health | 2021-10-15 | 2021-11-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-10-15 | 2021-11-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-10-15 | 2021-11-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-15 | 2021-11-19 | 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 | 2021-10-15 | 2021-11-19 | N |
| Provide activities to meet all resident's needs. | Health | 2021-10-15 | 2021-11-19 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-10-15 | 2021-11-19 | N |
| Keep all essential equipment working safely. | Health | 2018-09-18 | 2018-10-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-18 | 2018-10-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-18 | 2018-10-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-18 | 2018-10-26 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2018-09-18 | 2018-10-26 | 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 | 2018-09-18 | 2018-10-26 | 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 | 2018-09-18 | 2018-10-26 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-09-18 | 2018-10-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-18 | 2018-10-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-18 | 2018-10-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-09-18 | 2018-10-26 | 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 | 2018-09-18 | 2018-10-26 | N |