Deficiency Records for Transitions Healthcare Autumn Grove Care Center
Updated as of August 01, 2019
This is not the most recent data for Transitions Healthcare Autumn Grove Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Transitions Healthcare Autumn Grove 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? |
|---|---|---|---|---|
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-05-07 | 2019-06-21 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-05-07 | 2019-06-21 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-05-07 | 2019-06-21 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-05-07 | 2019-06-21 | N |
| Meet other general requirements. | Fire Safety | 2019-05-07 | 2019-06-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-05-07 | 2019-06-21 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2019-05-07 | 2019-06-21 | 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 | 2019-05-07 | 2019-06-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-07 | 2019-06-21 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-05-07 | 2019-06-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-07 | 2019-06-21 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-05-07 | 2019-06-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-07 | 2019-06-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-07 | 2019-06-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-05-07 | 2019-06-21 | N |
| Have a properly installed and maintained dumbwaiter or escalator. | Fire Safety | 2019-05-07 | 2019-06-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-05-07 | 2019-06-21 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-05-07 | 2019-06-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-07 | 2019-06-21 | 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 | 2019-04-30 | 2019-06-14 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-04-30 | 2019-06-14 | N |
| Respond appropriately to all alleged violations. | Health | 2019-04-30 | 2019-06-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-30 | 2019-06-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-04-30 | 2019-06-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-30 | 2019-06-14 | 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 | 2019-04-30 | 2019-06-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-04-30 | 2019-06-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-30 | 2019-06-14 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-04-30 | 2019-06-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-30 | 2019-06-14 | 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 | 2019-04-30 | 2019-06-14 | 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 | 2019-04-30 | 2019-06-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-04-30 | 2019-06-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-30 | 2019-06-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-30 | 2019-06-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-30 | 2019-06-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-10 | 2018-12-12 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-05-08 | 2018-06-15 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-05-08 | 2018-06-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-05-08 | 2018-06-15 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-05-08 | 2018-06-15 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-05-08 | 2018-06-15 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-05-08 | 2018-06-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-05-08 | 2018-06-15 | N |
| Meet other general requirements. | Fire Safety | 2018-05-08 | 2018-06-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-05-08 | 2018-06-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-08 | 2018-06-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-05-08 | 2018-06-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-05-08 | 2018-06-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-05-08 | 2018-06-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-05-08 | 2018-06-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-04 | 2018-06-15 | N |
| Meet other general requirements. | Fire Safety | 2017-04-05 | 2017-05-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-04-05 | 2017-05-30 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2017-04-05 | 2017-05-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-04-05 | 2017-05-30 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-04-28 | 2017-05-29 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-04-28 | 2017-05-29 | N |
| Have enough backup water supply for essential areas of the nursing home. | Health | 2017-04-28 | 2017-05-26 | N |
