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Deficiency Records for Autumn Lake Healthcare Post-Acute Care Center
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare Post-Acute Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare Post-Acute Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2026-03-11 | 2026-04-06 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2026-03-11 | 2026-04-06 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2026-03-11 | 2026-04-06 | Y |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2025-11-24 | 2026-03-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-01-20 | 2026-02-26 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-11-24 | 2026-01-30 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-11-24 | 2026-01-30 | 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 | 2025-11-24 | 2026-01-30 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2025-11-24 | 2026-01-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-11-24 | 2026-01-30 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2025-11-24 | 2026-01-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-11-24 | 2026-01-30 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-11-24 | 2025-12-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-11-24 | 2025-12-23 | 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 | 2025-11-24 | 2025-12-23 | N |
| Provide activities to meet all resident's needs. | Health | 2025-11-24 | 2025-12-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-11-24 | 2025-12-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-11-24 | 2025-12-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-11-24 | 2025-12-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-11-24 | 2025-12-23 | 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 | 2025-11-24 | 2025-12-23 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-11-24 | 2025-12-23 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-11-24 | 2025-12-23 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-11-24 | 2025-12-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-11-24 | 2025-12-23 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-11-24 | 2025-12-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-10-10 | 2024-11-06 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-03-21 | 2023-07-05 | 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 | 2023-03-21 | 2023-07-05 | 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 | 2023-03-21 | 2023-07-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-21 | 2023-07-05 | 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 | 2023-03-21 | 2023-05-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-21 | 2023-05-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-21 | 2023-05-22 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-03-21 | 2023-05-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-21 | 2023-05-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-21 | 2023-05-22 | N |
| Respond appropriately to all alleged violations. | Health | 2023-03-21 | 2023-05-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-21 | 2023-05-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-21 | 2023-05-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-21 | 2023-05-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-21 | 2023-05-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-21 | 2023-05-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-21 | 2023-05-22 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-21 | 2023-05-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-21 | 2023-05-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-21 | 2023-05-03 | N |
| Meet other general requirements. | Fire Safety | 2023-03-21 | 2023-05-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-21 | 2023-05-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-21 | 2023-05-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-21 | 2023-05-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-21 | 2023-05-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-21 | 2023-05-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-21 | 2023-05-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-21 | 2023-05-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-21 | 2023-05-03 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-03-21 | 2023-05-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-21 | 2023-05-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-21 | 2023-05-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-21 | 2023-05-03 | 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 | 2023-03-21 | 2023-05-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-03-21 | 2023-05-03 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-03-21 | 2023-05-03 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-03-21 | 2023-05-03 | 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 | 2023-03-21 | 2023-05-03 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-03-21 | 2023-05-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-21 | 2022-06-22 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-04-09 | 2019-07-05 | 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 | 2019-04-09 | 2019-07-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-04-09 | 2019-07-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-09 | 2019-07-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-09 | 2019-06-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-09 | 2019-06-13 | 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 | 2019-04-09 | 2019-06-13 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-04-09 | 2019-06-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-09 | 2019-06-13 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-04-09 | 2019-06-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-09 | 2019-06-13 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-04-09 | 2019-06-13 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-04-09 | 2019-06-13 | N |