A list of the most recent deficiencies for Autumn Court. 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? |
---|---|---|---|---|
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-27 | 2023-01-20 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-07 | 2022-09-04 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-07 | 2022-09-04 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-07 | 2022-09-04 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-07 | 2022-09-04 | 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 | 2022-07-05 | 2022-09-04 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-22 | 2021-07-12 | Y |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-06-13 | 2019-07-01 | N |
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 | 2019-06-13 | 2019-07-01 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-06-13 | 2019-07-01 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-06-10 | 2019-07-01 | N |
Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-05-14 | 2018-06-07 | N |
Provide properly protected cooking facilities. | Fire Safety | 2018-05-14 | 2018-06-07 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-05-14 | 2018-06-07 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-05-14 | 2018-06-07 | N |