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Deficiency Records for Autumn Lake Healthcare at Voorhees

View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Voorhees. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Voorhees. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Provide care by qualified persons according to each resident's written plan of care. Health 2025-11-07 2026-01-02 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2025-09-23 2025-09-24 Y
PASARR screening for Mental disorders or Intellectual Disabilities Health 2025-07-24 2025-09-15 N
Have exits that are accessible at all times. Fire Safety 2025-07-24 2025-09-06 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2025-07-24 2025-08-01 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-01-26 2024-03-04 Y
Reasonably accommodate the needs and preferences of each resident. Health 2024-01-26 2024-03-04 Y
Provide and implement an infection prevention and control program. Health 2024-01-26 2024-03-04 N
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 2024-01-26 2024-03-04 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-01-26 2024-03-04 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-01-26 2024-03-04 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 2024-01-26 2024-03-04 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2024-01-26 2024-03-04 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2024-01-26 2024-03-04 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-26 2024-03-04 Y
Ensure medication error rates are not 5 percent or greater. Health 2024-01-26 2024-03-04 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-01-26 2024-03-04 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-01-26 2024-03-04 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-01-26 2024-03-04 N
Ensure each resident receives an accurate assessment. Health 2024-01-26 2024-03-04 N
Address subsistence needs for staff and patients. Fire Safety 2024-01-26 2024-03-04 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-01-26 2024-03-04 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-01-26 2024-03-04 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-09-17 2021-11-10 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2021-09-17 2021-10-28 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-09-17 2021-10-19 N
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 2021-09-17 2021-10-19 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2021-09-17 2021-10-19 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-09-17 2021-10-19 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-09-17 2021-10-19 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-09-17 2021-10-18 N
Respond appropriately to all alleged violations. Health 2021-09-17 2021-10-18 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-09-17 2021-10-18 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-09-17 2021-10-18 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2021-09-17 2021-10-18 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2026-03-17 Not Fixed Y

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