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Deficiency Records for Autumn Lake Healthcare at Oak Manor
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Oak Manor. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Oak Manor. 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 | 2025-07-01 | 2025-06-30 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-02-19 | 2025-05-02 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2025-02-19 | 2025-05-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-02-19 | 2025-05-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-02-19 | 2025-05-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-19 | 2025-05-02 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-02-19 | 2025-05-02 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2025-02-19 | 2025-05-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-02-19 | 2025-05-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-02-19 | 2025-05-02 | 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 | 2025-02-19 | 2025-05-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-19 | 2025-05-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-19 | 2025-04-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-02-19 | 2025-04-22 | N |
| Construct fire resistant interior walls. | Fire Safety | 2025-02-19 | 2025-04-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-20 | 2025-01-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-10-20 | 2020-12-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-20 | 2020-12-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-20 | 2020-12-04 | 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 | 2020-10-20 | 2020-12-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-10-20 | 2020-12-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-10-20 | 2020-12-04 | 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 | 2020-10-20 | 2020-12-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-10-20 | 2020-12-04 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-10-20 | 2020-12-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-10-20 | 2020-12-04 | N |
| Meet other general requirements. | Fire Safety | 2020-10-20 | 2020-12-04 | 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 | 2020-10-20 | 2020-12-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-10-20 | 2020-12-04 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2020-10-20 | 2020-12-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-22 | 2019-03-08 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-01-22 | 2019-03-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-01-22 | 2019-03-08 | 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 | 2019-01-22 | 2019-03-08 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-01-22 | 2019-03-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-01-22 | 2019-03-08 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-01-22 | 2019-03-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-22 | 2019-03-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-22 | 2019-03-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-01-22 | 2019-03-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-22 | 2019-03-08 | 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 | 2019-01-22 | 2019-03-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-22 | 2019-03-08 | 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 | 2019-01-22 | 2019-03-08 | 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 | 2019-01-22 | 2019-03-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-22 | 2019-03-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-01-22 | 2019-03-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-01-22 | 2019-03-08 | N |