A list of the most recent deficiencies for Autumn Care of Chesapeake. 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 residents to self-administer drugs if determined clinically appropriate. | Health | 2023-12-08 | 2024-01-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-08 | 2024-01-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-08 | 2024-01-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-08 | 2024-01-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-08 | 2024-01-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-08 | 2024-01-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-08 | 2024-01-19 | 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 | 2023-12-08 | 2024-01-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-08 | 2024-01-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-08 | 2024-01-19 | 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 | 2023-12-08 | 2024-01-19 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2023-12-08 | 2024-01-19 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-12-08 | 2024-01-19 | 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 | 2020-01-09 | 2020-01-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-09 | 2020-01-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-09 | 2020-01-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-09 | 2020-01-24 | 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 | 2020-01-09 | 2020-01-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-09 | 2020-01-24 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-11-29 | 2019-01-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-11-29 | 2019-01-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-10-18 | 2018-11-16 | 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 | 2018-10-18 | 2018-11-16 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-10-18 | 2018-11-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-18 | 2018-11-16 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-10-18 | 2018-11-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-18 | 2018-11-16 | 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 | 2018-10-18 | 2018-11-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-18 | 2018-11-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-18 | 2018-11-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-18 | 2018-11-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-18 | 2018-11-16 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-10-18 | 2018-11-16 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2018-10-18 | 2018-11-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-10-18 | 2018-11-16 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-10-18 | 2018-11-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-18 | 2018-11-16 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-10-18 | 2018-11-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-10-18 | 2018-11-16 | 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 | 2018-10-18 | 2018-11-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-10-18 | 2018-11-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-10-18 | 2018-11-16 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-10-18 | 2018-11-16 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-10-18 | 2018-11-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-18 | 2018-11-16 | N |
