Deficiency Records for The Subacute at Autumn Lake Healthcare
Updated as of April 01, 2024
A list of the most recent deficiencies for The Subacute at Autumn Lake Healthcare. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-23 | 2023-08-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-23 | 2023-08-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-23 | 2023-08-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-23 | 2023-08-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-23 | 2023-08-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-23 | 2023-08-07 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-06-23 | 2023-08-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-23 | 2023-08-07 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-07-28 | 2022-09-09 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-28 | 2022-08-31 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-07-28 | 2022-08-31 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-28 | 2022-08-31 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-07-28 | 2022-08-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-25 | 2021-12-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-06-10 | 2021-07-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-10 | 2021-07-20 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-06-10 | 2021-07-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-10 | 2021-07-20 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-10 | 2021-07-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-09 | 2019-08-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-07-09 | 2019-08-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-09 | 2019-08-15 | N |
