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Deficiency Records for The Subacute at Autumn Lake Healthcare
View the most recent health deficiencies and inspection results for The Subacute at Autumn Lake Healthcare. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Subacute at Autumn Lake Healthcare. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2026-03-24 | 2026-04-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-03-24 | 2026-04-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2026-03-24 | 2026-04-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2026-03-24 | 2026-04-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-03-24 | 2026-04-15 | 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 | 2026-03-24 | 2026-04-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2026-03-24 | 2026-04-15 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2026-03-24 | 2026-04-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-03-24 | 2026-04-10 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2026-03-24 | 2026-04-10 | 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 | 2026-03-24 | 2026-04-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2026-03-24 | 2026-04-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-03-24 | 2026-04-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-12-10 | 2026-01-20 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2025-09-26 | 2025-11-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-09-26 | 2025-11-10 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-09-26 | 2025-09-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-09-26 | 2025-09-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-26 | 2025-09-24 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-11-27 | 2024-12-24 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-10-30 | 2024-12-01 | 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 | 2024-10-30 | 2024-12-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-30 | 2024-12-01 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-10-30 | 2024-12-01 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-10-30 | 2024-12-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-30 | 2024-12-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-10-30 | 2024-11-30 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-10-30 | 2024-11-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-30 | 2024-11-30 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-10-30 | 2024-11-30 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-11-27 | 2024-11-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-30 | 2024-08-29 | 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 | 2024-01-22 | 2024-03-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-23 | 2023-08-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-23 | 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 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 |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-23 | 2023-08-07 | N |