Deficiency Records for Autumn Lake Healthcare at Baltimore Washington
Updated as of March 01, 2019
This is not the most recent data for Autumn Lake Healthcare at Baltimore Washington. For the most recent information, click here.
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 | 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 schedul | 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 |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-03-05 | 2018-04-12 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2018-03-05 | 2018-04-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-01-31 | 2018-03-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-01-31 | 2018-03-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-31 | 2018-03-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-01-31 | 2018-03-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-01-31 | 2018-03-16 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2018-01-31 | 2018-03-16 | Y |
| 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 |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-01-31 | 2017-04-27 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-01-31 | 2017-04-27 | Y |
| Provide housekeeping and maintenance services. | Health | 2017-01-31 | 2017-04-27 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-01-31 | 2017-04-27 | Y |
| 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 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-01-31 | 2017-04-27 | Y |
| 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 | Y |
| 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 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-01-31 | 2017-04-27 | Y |
| 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 | Y |
| 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 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-01-31 | 2017-04-27 | Y |
| 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 |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-12-08 | 2017-01-17 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-12-08 | 2017-01-17 | Y |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-12-08 | 2017-01-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-11-17 | 2016-02-16 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-11-17 | 2016-02-16 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-11-17 | 2016-02-16 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-11-23 | 2016-01-16 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-11-23 | 2016-01-16 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-11-23 | 2016-01-16 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2015-11-23 | 2016-01-16 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-11-23 | 2016-01-16 | N |
| Keep clinical record information safe. | Health | 2015-11-17 | 2016-01-15 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2015-11-17 | 2016-01-05 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-11-17 | 2016-01-05 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2015-11-17 | 2016-01-05 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-11-17 | 2016-01-05 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-11-17 | 2016-01-05 | N |
| Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. | Health | 2015-11-17 | 2016-01-05 | 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 | 2015-11-17 | 2016-01-05 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-11-17 | 2016-01-05 | N |
| Keep all essential equipment working safely. | Health | 2015-11-17 | 2016-01-05 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2015-11-17 | 2016-01-05 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-11-17 | 2016-01-01 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-11-17 | 2016-01-01 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2017-01-04 | Not Fixed | Y |
| Upon the death of a resident, convey the resident?s personal funds and an accounting of those funds to the appropriate party. | Health | 2017-01-04 | Not Fixed | Y |
