Deficiency Records for Autumn Lake Healthcare at Summit Park
Updated as of August 01, 2019
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 each resident receives an accurate assessment. | Health | 2019-02-28 | 2019-04-12 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-28 | 2019-04-12 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-02-28 | 2019-04-12 | Y |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-02-08 | 2018-03-22 | Y |
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2018-02-08 | 2018-03-22 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-02-15 | 2018-03-15 | Y |
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-02-02 | 2018-03-01 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-10-23 | 2018-01-19 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-10-23 | 2018-01-19 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-10-23 | 2018-01-19 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-23 | 2018-01-19 | N |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-10-23 | 2018-01-19 | N |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-10-23 | 2018-01-19 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-10-23 | 2018-01-19 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-10-23 | 2018-01-19 | N |
Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2017-12-12 | 2018-01-08 | 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 | 2017-12-12 | 2018-01-08 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2017-12-12 | 2018-01-08 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-12-12 | 2018-01-08 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-12-12 | 2018-01-08 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2017-12-12 | 2018-01-08 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2017-12-12 | 2018-01-08 | 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 | 2017-10-23 | 2017-12-08 | N |
Provide housekeeping and maintenance services. | Health | 2017-10-23 | 2017-12-08 | N |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-10-23 | 2017-12-08 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-23 | 2017-12-08 | 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 | 2017-10-23 | 2017-12-08 | N |
Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-10-23 | 2017-12-08 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-20 | 2017-09-01 | Y |
Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-07-20 | 2017-06-16 | Y |
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 | 2017-07-20 | 2017-06-16 | Y |
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 | 2017-03-22 | 2017-05-05 | Y |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-03-22 | 2017-05-05 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-22 | 2017-05-05 | Y |
Give residents a notice of rights, rules, services and charges. | Health | 2016-08-19 | 2016-10-14 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-08-19 | 2016-10-14 | Y |
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 | 2016-08-19 | 2016-10-14 | Y |
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 | 2016-08-19 | 2016-10-14 | Y |
Provide housekeeping and maintenance services. | Health | 2016-08-19 | 2016-10-14 | Y |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-08-19 | 2016-10-14 | Y |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-08-19 | 2016-10-14 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-08-19 | 2016-10-14 | Y |
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2016-08-19 | 2016-10-14 | Y |
Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | Health | 2016-08-19 | 2016-10-14 | Y |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-08-19 | 2016-10-14 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-08-19 | 2016-10-14 | 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 | 2016-08-19 | 2016-10-14 | Y |
Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-08-19 | 2016-10-14 | Y |
Post nurse staffing information/data on a daily basis. | Health | 2016-08-19 | 2016-10-14 | Y |
Make sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor. | Health | 2016-08-19 | 2016-10-14 | Y |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-08-19 | 2016-10-14 | Y |
Keep all essential equipment working safely. | Health | 2016-08-19 | 2016-10-14 | Y |
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-08-19 | 2016-10-14 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-08-19 | 2016-10-14 | Y |
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-08-16 | 2016-09-30 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-08-16 | 2016-09-30 | N |
Weekly inspections and monthly testing of generators. | Fire Safety | 2016-08-16 | 2016-09-30 | N |
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 |