A list of the most recent deficiencies for Autumn Care of Nash. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-08 | 2023-03-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-08 | 2023-03-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-08 | 2023-03-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-09 | 2023-03-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-02-09 | 2023-03-03 | N |
| Post nurse staffing information every day. | Health | 2023-02-09 | 2023-03-03 | 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 | 2023-02-09 | 2023-03-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-10 | 2022-02-28 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-02-10 | 2022-02-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-10 | 2022-02-18 | N |
| Dispose of garbage and refuse properly. | Health | 2022-02-10 | 2022-02-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-17 | 2021-09-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-20 | 2021-09-24 | Y |
| Assess the resident when there is a significant change in condition | Health | 2021-07-20 | 2021-09-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-20 | 2021-09-17 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-07-20 | 2021-09-07 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-07-20 | 2021-09-07 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-11 | 2019-11-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-11 | 2019-11-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-10-11 | 2019-11-21 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-10-11 | 2019-11-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-11 | 2019-11-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-13 | 2019-09-24 | 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 | 2019-09-13 | 2019-09-24 | N |
