Deficiency Records for Autumn Lake Healthcare Post-Acute Care Center
Updated as of May 01, 2020
This is not the most recent data for Autumn Lake Healthcare Post-Acute Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Autumn Lake Healthcare Post-Acute Care Center. 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-20 | 2020-04-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-20 | 2020-04-05 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-02-20 | 2020-04-05 | 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 | 2019-10-10 | 2020-01-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-10 | 2020-01-16 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-10-10 | 2020-01-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-10 | 2020-01-16 | Y |
| 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 | 2019-05-28 | 2019-07-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-28 | 2019-07-05 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-05-28 | 2019-07-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-28 | 2019-07-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-09 | 2019-06-13 | Y |
| 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 |
| 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 |
| 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 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-29 | 2018-12-28 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-11-29 | 2018-12-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-29 | 2018-12-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-09-27 | 2018-10-26 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-09-27 | 2018-10-26 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-03-20 | 2018-05-14 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-03-05 | 2018-04-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-03-05 | 2018-04-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-03-05 | 2018-04-19 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-03-05 | 2018-03-30 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-03-05 | 2018-03-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-05 | 2018-03-13 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-03-05 | 2018-03-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-02-28 | 2017-12-12 | Y |
| Provide resident groups or resident family groups with private space to meet. | Health | 2017-11-10 | 2017-12-11 | 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 | 2017-11-10 | 2017-12-11 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-11-10 | 2017-12-11 | Y |
| 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 | 2016-12-02 | 2017-01-18 | N |
| Have exits that are accessible at all times. | Fire Safety | 2016-12-02 | 2017-01-18 | 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 | 2016-12-02 | 2017-01-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-12-02 | 2017-01-18 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2016-12-02 | 2017-01-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-12-02 | 2017-01-18 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2016-12-02 | 2017-01-18 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-12-06 | 2017-01-16 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-12-06 | 2017-01-16 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-12-06 | 2017-01-16 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-12-06 | 2017-01-16 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-12-06 | 2017-01-16 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-12-06 | 2017-01-16 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-12-06 | 2017-01-16 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-12-06 | 2017-01-16 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-05-15 | Not Fixed | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2019-05-15 | Not Fixed | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-05-15 | Not Fixed | Y |
