A list of the most recent deficiencies for Autumn Hills Care 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? |
|---|---|---|---|---|
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-05-05 | 2023-05-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-28 | 2023-02-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-18 | 2022-08-30 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-08-18 | 2022-08-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-15 | 2022-08-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-15 | 2022-08-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-15 | 2022-08-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-25 | 2022-03-08 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-02-25 | 2022-03-08 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-17 | 2021-11-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-07 | 2021-08-12 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-05-26 | 2021-05-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-28 | 2021-05-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-28 | 2021-05-10 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-04-28 | 2021-05-10 | Y |
| Have proper power supply for life support equipment. | Fire Safety | 2019-08-26 | 2020-03-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-28 | 2019-10-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-08-28 | 2019-10-28 | 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 | 2019-08-28 | 2019-10-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-28 | 2019-10-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-28 | 2019-10-28 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-08-28 | 2019-10-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-28 | 2019-10-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-28 | 2019-10-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-28 | 2019-10-28 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-08-26 | 2019-10-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-26 | 2019-10-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-26 | 2019-10-28 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-07-19 | 2018-08-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-19 | 2018-08-01 | N |
