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Deficiency Records for Autumn Lake Healthcare at Arlington West
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Arlington West. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Arlington West. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-06-17 | 2025-11-04 | N |
| Have exits that are accessible at all times. | Fire Safety | 2025-06-17 | 2025-10-29 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2025-06-17 | 2025-09-01 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2025-06-17 | 2025-09-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-06-17 | 2025-09-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-06-17 | 2025-09-01 | 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 | 2025-06-17 | 2025-07-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-06-17 | 2025-07-29 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-06-17 | 2025-07-29 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-06-17 | 2025-07-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-06 | 2022-07-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-06 | 2022-07-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-06 | 2022-07-05 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-05-06 | 2022-07-05 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-05-06 | 2022-07-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-06 | 2022-07-05 | N |
| Post nurse staffing information every day. | Health | 2022-05-06 | 2022-07-05 | 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 | 2022-05-06 | 2022-07-05 | 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 | 2022-05-06 | 2022-07-05 | N |
| Provide or obtain dental services for each resident. | Health | 2022-05-06 | 2022-07-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-06 | 2022-07-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-06 | 2022-07-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-05-06 | 2022-07-05 | N |
| Report COVID19 data to residents and families. | Health | 2022-05-06 | 2022-07-05 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-05-06 | 2022-07-05 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-05-06 | 2022-07-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-05-06 | 2022-07-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-06 | 2022-07-05 | 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 | 2022-05-06 | 2022-07-05 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-05-06 | 2022-07-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-06 | 2022-07-05 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-05-06 | 2022-07-05 | N |
| Respond appropriately to all alleged violations. | Health | 2022-05-06 | 2022-07-05 | N |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2022-05-06 | 2022-07-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-06 | 2022-07-05 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-05-06 | 2022-07-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-06 | 2022-07-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-06 | 2022-07-05 | 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 | 2022-05-06 | 2022-07-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-06 | 2022-06-17 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-05-06 | 2022-06-17 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-05-06 | 2022-06-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-06 | 2022-06-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-06 | 2022-06-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-05-06 | 2022-06-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-11-01 | 2018-12-08 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2018-11-01 | 2018-12-08 | 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 | 2018-11-01 | 2018-12-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-11-01 | 2018-12-08 | N |
| Respond appropriately to all alleged violations. | Health | 2018-11-01 | 2018-12-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-01 | 2018-12-08 | 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 | 2018-11-01 | 2018-12-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-01 | 2018-12-08 | 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 | 2018-11-01 | 2018-12-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-01 | 2018-12-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-01 | 2018-12-08 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-11-01 | 2018-12-08 | N |