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Deficiency Records for Autumn Lake Healthcare at Summit Park
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Summit Park. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Summit Park. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2025-08-27 | 2026-02-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-08-27 | 2026-02-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-08-27 | 2026-02-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-08-27 | 2026-02-11 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2025-08-27 | 2026-02-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-27 | 2026-02-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-08-27 | 2026-02-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-08-27 | 2026-02-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-08-27 | 2026-02-11 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-08-27 | 2025-10-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-08-27 | 2025-10-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-27 | 2025-10-10 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-08-27 | 2025-10-10 | 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 | 2025-08-27 | 2025-10-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-08-27 | 2025-10-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-08-27 | 2025-10-10 | N |
| Provide activities to meet all resident's needs. | Health | 2025-08-27 | 2025-10-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-27 | 2025-10-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-27 | 2025-10-10 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2025-08-27 | 2025-10-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-08-27 | 2025-10-10 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-08-27 | 2025-10-10 | 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 | 2025-08-27 | 2025-10-10 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-08-27 | 2025-10-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-27 | 2025-10-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-08-27 | 2025-10-10 | Y |
| Meet other general requirements that are deficient. | Fire Safety | 2023-12-22 | 2024-03-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-22 | 2024-03-05 | 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 | 2023-12-22 | 2024-03-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-12-22 | 2024-03-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-22 | 2024-02-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-22 | 2024-02-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-22 | 2024-02-06 | 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 | 2023-12-22 | 2024-02-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-22 | 2024-02-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-22 | 2024-02-06 | 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 | 2023-12-22 | 2024-02-06 | 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 | 2023-12-22 | 2024-02-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-22 | 2024-02-06 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-12-22 | 2024-02-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-22 | 2024-02-06 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-12-22 | 2024-02-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-22 | 2024-02-06 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-12-22 | 2024-02-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-22 | 2024-02-06 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-12-22 | 2024-02-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-22 | 2024-02-06 | N |
| Provide or obtain dental services for each resident. | Health | 2023-12-22 | 2024-02-06 | 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 | 2023-12-22 | 2024-02-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-12-22 | 2024-02-06 | 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 | 2023-12-22 | 2024-02-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-22 | 2024-02-06 | 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 | 2023-12-22 | 2024-02-06 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-12-22 | 2024-02-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-12-22 | 2024-02-06 | N |
| Respond appropriately to all alleged violations. | Health | 2023-12-22 | 2024-02-06 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-12-22 | 2024-02-06 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-12-22 | 2024-02-06 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-12-22 | 2024-02-06 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-12-22 | 2024-02-06 | 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 | 2023-12-22 | 2024-02-06 | 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 | 2023-12-22 | 2024-02-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-22 | 2024-02-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-12-22 | 2024-02-01 | N |
| Meet other general requirements. | Fire Safety | 2023-12-22 | 2024-02-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-22 | 2024-02-01 | 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 | 2023-12-22 | 2024-02-01 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-12-22 | 2024-02-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-12-22 | 2024-02-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-22 | 2024-02-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-22 | 2024-02-01 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-12-22 | 2024-02-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-22 | 2024-02-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-22 | 2024-02-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-22 | 2024-02-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-22 | 2024-02-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-11-13 | 2023-12-20 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-11-13 | 2023-12-20 | 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 | 2019-03-21 | 2019-07-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-21 | 2019-07-30 | 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 | 2019-03-21 | 2019-07-30 | 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 | 2019-03-21 | 2019-07-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-21 | 2019-07-30 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-03-21 | 2019-07-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-21 | 2019-06-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-21 | 2019-06-14 | 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 | 2019-03-21 | 2019-06-14 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-03-21 | 2019-06-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-21 | 2019-05-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-03-21 | 2019-05-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-03-21 | 2019-05-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-21 | 2019-05-21 | N |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2019-03-21 | 2019-05-21 | 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 | 2019-03-21 | 2019-05-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-21 | 2019-05-21 | 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 | 2019-03-21 | 2019-05-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-03-21 | 2019-05-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-21 | 2019-05-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-21 | 2019-05-21 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-03-21 | 2019-05-21 | N |
| Provide activities to meet all resident's needs. | Health | 2019-03-21 | 2019-05-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-21 | 2019-05-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-21 | 2019-05-21 | 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 | 2019-03-21 | 2019-05-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-21 | 2019-05-21 | N |
| Respond appropriately to all alleged violations. | Health | 2019-03-21 | 2019-05-21 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2019-03-21 | 2019-05-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-03-21 | 2019-05-21 | 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 | 2019-03-21 | 2019-05-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-03-21 | 2019-05-21 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-03-21 | 2019-05-21 | N |