Deficiency Records for Autumn Lake Healthcare at Summit Park
Updated as of August 01, 2016
This is not the most recent data for Autumn Lake Healthcare at Summit Park. For the most recent information, click here.
A list of the most recent deficiencies for Autumn Lake Healthcare at Summit Park. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-05-09 | 2016-01-04 | Y |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2015-07-09 | 2015-08-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-07-09 | 2015-08-31 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-07-09 | 2015-08-31 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-07-09 | 2015-08-31 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-07-09 | 2015-08-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-07-09 | 2015-08-31 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-07-09 | 2015-08-31 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2015-07-09 | 2015-08-31 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-07-09 | 2015-08-31 | 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 | 2015-07-09 | 2015-08-31 | N |
| Provide or obtain dental services for each resident. | Health | 2015-07-09 | 2015-08-31 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2015-07-09 | 2015-08-31 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-07-09 | 2015-08-31 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-07-09 | 2015-08-31 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-07-08 | 2015-08-14 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-07-08 | 2015-08-14 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-07-08 | 2015-08-14 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2015-07-08 | 2015-08-14 | N |
| Properly constructed linen or trash chutes. | Fire Safety | 2015-07-08 | 2015-08-14 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-07-08 | 2015-08-14 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-05-28 | 2015-07-06 | Y |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2014-10-07 | 2014-12-23 | Y |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2014-08-13 | 2014-09-08 | N |
| Other fire safety features required by fire safety codes. | Fire Safety | 2014-08-13 | 2014-09-08 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2014-07-21 | 2014-09-04 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2014-07-21 | 2014-09-04 | N |
| Give notice to the resident before a room or roommate change. | Health | 2014-07-21 | 2014-09-04 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2014-07-21 | 2014-09-04 | N |
| Provide housekeeping and maintenance services. | Health | 2014-07-21 | 2014-09-04 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-07-21 | 2014-09-04 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-07-21 | 2014-09-04 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-07-21 | 2014-09-04 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-07-21 | 2014-09-04 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-07-21 | 2014-09-04 | N |
| Keep all essential equipment working safely. | Health | 2014-07-21 | 2014-09-04 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2014-07-21 | 2014-09-04 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2014-07-21 | 2014-09-04 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2014-07-21 | 2014-09-04 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-07-21 | 2014-09-04 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2014-05-20 | 2014-06-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2014-05-20 | 2014-06-11 | Y |
| Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. | Health | 2014-05-20 | 2014-06-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-05-20 | 2014-06-11 | Y |
| Help the resident in making transportation arrangements to and from radiology services. | Health | 2014-05-20 | 2014-06-11 | Y |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2013-07-30 | 2013-09-09 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2013-07-30 | 2013-09-09 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2013-07-30 | 2013-09-09 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2013-07-22 | Not Fixed | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2013-07-22 | Not Fixed | N |
| Provide housekeeping and maintenance services. | Health | 2013-07-22 | Not Fixed | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2013-07-22 | Not Fixed | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2013-07-22 | Not Fixed | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2013-07-22 | Not Fixed | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2013-07-22 | Not Fixed | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-07-22 | Not Fixed | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2013-07-22 | Not Fixed | 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 | 2013-07-22 | Not Fixed | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2013-07-22 | Not Fixed | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2013-07-22 | Not Fixed | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2013-07-22 | Not Fixed | N |
