A list of the most recent deficiencies for Autumnwood Nursing and Rehab Center. 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-16 | 2023-10-27 | Y |
| 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 | 2023-10-16 | 2023-10-27 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-02-09 | 2023-04-21 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-02-09 | 2023-04-21 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-02-07 | 2023-04-21 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-02-07 | 2023-04-21 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-02-07 | 2023-04-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-07 | 2023-04-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-02-07 | 2023-04-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-07 | 2023-04-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-07 | 2023-04-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-07 | 2023-04-21 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-02-07 | 2023-04-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-07 | 2023-04-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-07 | 2023-04-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-02-07 | 2023-04-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-07 | 2023-04-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-07 | 2023-04-21 | 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 | 2022-06-16 | 2022-06-24 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-16 | 2022-06-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-17 | 2021-08-31 | Y |
| Provide activities to meet all resident's needs. | Health | 2021-08-17 | 2021-08-31 | 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 | 2021-08-17 | 2021-08-31 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-08-17 | 2021-08-31 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-08-17 | 2021-08-31 | Y |
| Provide activities to meet all resident's needs. | Health | 2021-08-02 | 2021-08-31 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2021-08-02 | 2021-08-31 | 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 | 2021-08-02 | 2021-08-31 | Y |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2021-08-02 | 2021-08-31 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-08-02 | 2021-08-31 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-08-02 | 2021-08-31 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-08-02 | 2021-08-31 | 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 | 2021-03-15 | 2021-04-12 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2020-01-23 | 2020-04-01 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2020-01-23 | 2020-04-01 | 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 | 2020-01-21 | 2020-04-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-01-21 | 2020-04-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-21 | 2020-04-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-01-21 | 2020-04-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-21 | 2020-04-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-01-21 | 2020-04-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-21 | 2020-04-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-21 | 2020-04-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-21 | 2020-04-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-20 | 2018-12-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-20 | 2018-12-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-11-19 | 2018-12-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-11-19 | 2018-12-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-11-19 | 2018-12-17 | N |
