Deficiency Records for Autumn Lake Healthcare at Baltimore Washington
Updated as of April 01, 2024
A list of the most recent deficiencies for Autumn Lake Healthcare at Baltimore Washington. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-23 | 2021-08-31 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-23 | 2021-08-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-07-23 | 2021-08-31 | 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 | 2021-07-23 | 2021-08-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-23 | 2021-08-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-23 | 2021-08-31 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-07-23 | 2021-08-31 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-23 | 2021-08-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-23 | 2021-08-31 | Y |
| Respond appropriately to all alleged violations. | 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 |
| Ensure each resident receives an accurate assessment. | 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 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 |
| Provide activities to meet all resident's needs. | 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 |
| 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 safe, appropriate pain management for a resident who requires such services. | 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 |
| 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 |
| 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 | 2019-10-08 | 2019-11-22 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2019-10-08 | 2019-11-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-08 | 2019-11-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-08 | 2019-11-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-08 | 2019-11-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-05-01 | 2018-06-15 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-05-01 | 2018-06-15 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-05-01 | 2018-06-15 | 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 | 2018-05-01 | 2018-06-15 | 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 | 2018-05-01 | 2018-06-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-05-01 | 2018-06-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-01 | 2018-06-15 | 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 | 2018-05-01 | 2018-06-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-01 | 2018-06-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-01 | 2018-06-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-05-01 | 2018-06-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-05-01 | 2018-06-15 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2018-05-01 | 2018-06-15 | 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 | 2018-05-01 | 2018-06-15 | 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 | 2018-05-01 | 2018-06-15 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-05-01 | 2018-06-15 | 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 | 2018-05-01 | 2018-06-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-01 | 2018-06-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-01 | 2018-06-15 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-04-26 | 2018-05-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-26 | 2018-05-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-04-26 | 2018-05-31 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-01-31 | 2017-04-27 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-01-31 | 2017-04-27 | N |
| Provide housekeeping and maintenance services. | Health | 2017-01-31 | 2017-04-27 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-01-31 | 2017-04-27 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-01-31 | 2017-04-27 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-01-31 | 2017-04-27 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-01-31 | 2017-04-27 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-01-31 | 2017-04-27 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2017-01-31 | 2017-04-27 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-01-31 | 2017-04-27 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2017-01-31 | 2017-04-27 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2017-01-31 | 2017-04-27 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-01-31 | 2017-04-27 | 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 | 2017-01-25 | 2017-04-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-01-25 | 2017-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-01-25 | 2017-04-15 | N |
