A list of the most recent deficiencies for Autumn Care of Marshville. 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? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-18 | 2023-09-01 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-07-18 | 2023-09-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-18 | 2023-09-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-18 | 2023-09-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-22 | 2023-07-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-22 | 2023-07-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-06-22 | 2023-07-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-08 | 2023-03-22 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-03-08 | 2023-03-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-08 | 2023-03-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-08 | 2023-03-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-08 | 2023-03-22 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-08 | 2023-03-22 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-12-14 | 2023-01-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-14 | 2023-01-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-14 | 2023-01-28 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-11-04 | 2021-12-06 | 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 | 2021-11-04 | 2021-12-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-11-04 | 2021-12-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-04 | 2021-12-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-04 | 2021-12-06 | Y |
| 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 | 2021-11-04 | 2021-12-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-04 | 2021-12-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-07 | 2021-11-04 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-09-04 | 2019-11-04 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-09-04 | 2019-11-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-04 | 2019-11-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-04 | 2019-11-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-09-04 | 2019-11-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-09-04 | 2019-11-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-07 | 2019-09-04 | N |
| Post nurse staffing information every day. | Health | 2019-08-07 | 2019-09-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-07 | 2019-09-04 | 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 | 2019-08-07 | 2019-09-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-07 | 2019-09-04 | N |
