Deficiency Records for Autumn Lake Healthcare at Arlington West
Updated as of June 01, 2022
This is not the most recent data for Autumn Lake Healthcare at Arlington West. For the most recent information, click here.
A list of the most recent deficiencies for Autumn Lake Healthcare at Arlington West. 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? |
|---|---|---|---|---|
| Meet other general requirements. | Fire Safety | 2021-05-05 | 2021-06-25 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2019-06-12 | 2019-08-21 | Y |
| 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 |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-07-27 | 2017-09-08 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-27 | 2017-09-08 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-27 | 2017-09-08 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-07-27 | 2017-09-08 | 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 | 2016-09-23 | 2016-10-21 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-09-23 | 2016-10-21 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-09-23 | 2016-10-21 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-09-23 | 2016-10-21 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-09-23 | 2016-10-21 | 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 | 2016-09-23 | 2016-10-21 | 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 | 2016-09-23 | 2016-10-21 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-09-23 | 2016-10-21 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-08-10 | 2016-09-16 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-08-10 | 2016-09-16 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-08-10 | 2016-09-16 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-08-10 | 2016-09-16 | N |
