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Deficiency Records for Autumn Lake Healthcare at Baltimore Washington
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Baltimore Washington. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Baltimore Washington. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-02-13 | 2026-04-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-02-13 | 2026-04-20 | N |
| Provide or obtain dental services for each resident. | Health | 2026-02-13 | 2026-04-20 | 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 | 2026-02-13 | 2026-04-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-02-13 | 2026-04-20 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2026-02-13 | 2026-04-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2026-02-13 | 2026-04-20 | 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 | 2026-02-13 | 2026-04-20 | 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 | 2026-02-13 | 2026-04-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-02-13 | 2026-04-20 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2026-02-13 | 2026-04-20 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2026-02-13 | 2026-04-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-02-13 | 2026-04-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2026-02-13 | 2026-04-20 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2026-02-13 | 2026-04-20 | 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 | 2026-02-13 | 2026-04-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2026-02-13 | 2026-04-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-02-13 | 2026-04-20 | N |
| Keep all essential equipment working safely. | Health | 2026-02-13 | 2026-04-20 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2026-02-13 | 2026-04-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2026-02-13 | 2026-04-20 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2026-02-13 | 2026-04-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2026-02-13 | 2026-04-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-02-13 | 2026-04-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-02-13 | 2026-04-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2026-02-13 | 2026-04-20 | 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 | 2026-02-13 | 2026-04-20 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-10-30 | 2025-11-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-05-02 | 2025-06-16 | Y |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2025-05-02 | 2025-06-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-05-02 | 2025-06-16 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-05-02 | 2025-06-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-02 | 2025-06-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-05-02 | 2025-06-16 | Y |
| 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 | 2025-05-02 | 2025-06-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-05-02 | 2025-06-16 | Y |
| Put firmly secured handrails on each side of hallways. | Health | 2024-09-09 | 2024-10-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-09-09 | 2024-10-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-09 | 2024-10-23 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-09-09 | 2024-10-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-09-09 | 2024-10-23 | 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 | 2024-09-09 | 2024-10-23 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-09-09 | 2024-10-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-09 | 2024-10-23 | 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 | 2024-09-09 | 2024-10-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-09-09 | 2024-10-23 | 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 | 2024-09-09 | 2024-10-23 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-09-09 | 2024-10-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-09 | 2024-10-23 | 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 | 2024-09-09 | 2024-10-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-09 | 2024-10-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-09 | 2024-10-23 | 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 | 2024-09-09 | 2024-10-23 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-09-09 | 2024-10-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-09 | 2024-10-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-09 | 2024-10-23 | Y |
| 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 | 2024-09-09 | 2024-10-23 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-09-09 | 2024-10-23 | Y |
| 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 | 2024-09-09 | 2024-10-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-09-09 | 2024-10-23 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-09-09 | 2024-10-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-09 | 2024-10-23 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-09-09 | 2024-10-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-09-09 | 2024-10-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-09-09 | 2024-10-23 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-09-09 | 2024-10-23 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-09-09 | 2024-10-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-09 | 2024-10-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-09-09 | 2024-10-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-09-09 | 2024-10-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-09-09 | 2024-10-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-09 | 2024-10-17 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-09-09 | 2024-10-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-09-09 | 2024-10-17 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-09-09 | 2024-10-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-09-09 | 2024-10-17 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-09-09 | 2024-10-17 | 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 | 2024-09-09 | 2024-10-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-09-09 | 2024-10-17 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-09-09 | 2024-10-17 | N |
| Provide activities to meet all resident's needs. | Health | 2019-10-15 | 2019-11-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-10-15 | 2019-11-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-15 | 2019-11-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-15 | 2019-11-25 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-10-15 | 2019-11-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-15 | 2019-11-25 | N |
| Provide or obtain dental services for each resident. | Health | 2019-10-15 | 2019-11-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-15 | 2019-11-25 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2019-10-15 | 2019-11-25 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-10-15 | 2019-11-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-15 | 2019-11-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-15 | 2019-11-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-10-15 | 2019-11-25 | N |
| Respond appropriately to all alleged violations. | Health | 2019-10-15 | 2019-11-25 | 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 | 2019-10-15 | 2019-11-22 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2019-10-15 | 2019-11-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-15 | 2019-11-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-15 | 2019-11-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-15 | 2019-11-22 | N |