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Deficiency Records for Autumn Lake Healthcare at Berkeley Heights
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Berkeley Heights. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Berkeley Heights. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-21 | 2026-03-03 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-11-18 | 2025-12-18 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2025-11-18 | 2025-12-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-11-18 | 2025-12-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-11-18 | 2025-12-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-11-18 | 2025-12-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-11-18 | 2025-12-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-11-18 | 2025-12-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-02-10 | 2025-03-05 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-07-19 | 2024-09-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-19 | 2024-09-10 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-07-19 | 2024-09-10 | 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 | 2024-07-19 | 2024-09-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-19 | 2024-09-10 | 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 | 2024-07-19 | 2024-09-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-19 | 2024-09-10 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2024-07-19 | 2024-09-10 | N |
| Post nurse staffing information every day. | Health | 2024-07-19 | 2024-09-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-19 | 2024-09-10 | 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 | 2024-07-19 | 2024-09-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-19 | 2024-09-10 | Y |
| 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 | 2024-07-19 | 2024-09-10 | 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 | 2024-07-19 | 2024-09-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-19 | 2024-09-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-19 | 2024-09-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-19 | 2024-09-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-07-19 | 2024-09-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-07-19 | 2024-09-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-07-19 | 2024-09-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-19 | 2024-09-10 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2024-07-19 | 2024-09-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-19 | 2024-09-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-19 | 2024-09-10 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-11-15 | 2023-01-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-15 | 2023-01-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-15 | 2022-12-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-15 | 2022-12-16 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-11-15 | 2022-12-16 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-11-15 | 2022-12-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-15 | 2022-12-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-15 | 2022-12-16 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-11-15 | 2022-12-16 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-11-15 | 2022-11-24 | 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 | 2022-11-15 | 2022-11-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-15 | 2022-11-24 | N |