Deficiency Records for Autumn Lake Healthcare at Berkeley Heights
Updated as of April 01, 2024
A list of the most recent deficiencies for Autumn Lake Healthcare at Berkeley Heights. 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? |
|---|---|---|---|---|
| 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 |
| Install proper backup exit lighting. | Fire Safety | 2022-11-15 | 2022-12-16 | N |
| Provide properly protected cooking facilities. | 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 |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 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 |
| 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 |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-11-15 | 2022-11-24 | N |
| Report COVID19 data to residents and families. | Health | 2022-02-01 | 2022-02-18 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-02-01 | 2022-02-18 | 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 | 2022-02-01 | 2022-02-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-09-23 | 2020-10-14 | 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 | 2020-09-23 | 2020-10-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-09-23 | 2020-10-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-23 | 2020-10-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-02 | 2019-04-22 | 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 | 2019-04-02 | 2019-04-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-02 | 2019-04-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-02 | 2019-04-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-04-02 | 2019-04-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-02 | 2019-04-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-04-02 | 2019-04-22 | N |
