A list of the most recent deficiencies for Autumn Aegis Nursing Home. 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? |
|---|---|---|---|---|
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-02-10 | 2022-03-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-10 | 2022-03-15 | N |
| 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 | 2022-02-10 | 2022-03-15 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-02-10 | 2022-03-15 | N |
| Use approved construction type or materials. | Fire Safety | 2022-02-07 | 2022-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-07 | 2022-03-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-07 | 2022-03-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-02-07 | 2022-03-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-18 | 2019-05-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-18 | 2019-05-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-18 | 2019-05-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-04-18 | 2019-05-20 | 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 | 2019-04-18 | 2019-05-20 | 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 | 2019-04-18 | 2019-05-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-18 | 2019-05-20 | N |
| Have a properly installed and maintained dumbwaiter or escalator. | Fire Safety | 2019-04-15 | 2019-05-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-03-22 | 2018-05-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-22 | 2018-05-22 | N |
| Dispose of garbage and refuse properly. | Health | 2018-03-22 | 2018-05-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-20 | 2018-05-22 | N |
