Deficiency Records for Autumn Lake Healthcare at Memorial Bridge
Updated as of March 01, 2024
A list of the most recent deficiencies for Autumn Lake Healthcare at Memorial Bridge. 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? |
|---|---|---|---|---|
| Have exits that are accessible at all times. | Fire Safety | 2023-09-29 | 2023-11-10 | 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 | 2023-09-29 | 2023-11-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-29 | 2023-11-10 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-09-29 | 2023-11-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-29 | 2023-11-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-29 | 2023-11-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-29 | 2023-11-10 | 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 | 2023-09-29 | 2023-11-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-29 | 2023-11-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-29 | 2023-11-03 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-29 | 2023-11-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-29 | 2023-11-03 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-29 | 2023-11-03 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-09-29 | 2023-11-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-29 | 2023-11-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-31 | 2022-06-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-05-31 | 2022-06-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-31 | 2022-06-30 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-05-31 | 2022-06-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-31 | 2022-06-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-05-31 | 2022-06-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-31 | 2022-06-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-05-31 | 2022-06-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-05-31 | 2022-06-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-05-31 | 2022-06-30 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-05-31 | 2022-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-24 | 2020-01-13 | N |
