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Deficiency Records for Autumn Lake Healthcare at Southgate
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Southgate. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Southgate. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2025-10-22 | 2025-12-09 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-05-22 | 2025-06-16 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-02-26 | 2025-03-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-02-26 | 2025-03-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-02-26 | 2025-03-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-02-26 | 2025-03-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-26 | 2025-03-19 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-02-26 | 2025-03-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-26 | 2025-03-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-02-26 | 2025-03-17 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-02-26 | 2025-03-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-02-26 | 2025-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-26 | 2025-02-27 | 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 | 2025-02-26 | 2025-02-27 | Y |
| Keep all essential equipment working safely. | Health | 2025-02-26 | 2025-02-27 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-02-26 | 2025-02-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-02-26 | 2025-02-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-26 | 2025-02-27 | 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 | 2025-02-26 | 2025-02-27 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-01-17 | 2023-02-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-17 | 2023-02-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-17 | 2023-02-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-01-17 | 2023-02-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-17 | 2023-02-06 | 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 | 2023-01-17 | 2023-01-24 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-01-17 | 2023-01-24 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-01-17 | 2023-01-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-17 | 2023-01-24 | N |
| Post nurse staffing information every day. | Health | 2023-01-17 | 2023-01-24 | 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 | 2023-01-17 | 2023-01-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-17 | 2023-01-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-21 | 2020-11-04 | N |