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Deficiency Records for Autumn Care of Suffolk
View the most recent health deficiencies and inspection results for Autumn Care of Suffolk. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Autumn Care of Suffolk. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-18 | 2024-11-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-09-18 | 2024-11-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-09-18 | 2024-11-05 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-09-18 | 2024-10-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-09-18 | 2024-10-22 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-09-18 | 2024-10-22 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-09-18 | 2024-10-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-18 | 2024-10-22 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-09-18 | 2024-10-22 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-09-18 | 2024-10-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-18 | 2024-10-22 | N |
| Provide activities to meet all resident's needs. | Health | 2024-09-18 | 2024-10-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-18 | 2024-10-22 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-09-18 | 2024-10-22 | 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 | 2024-09-18 | 2024-10-22 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-09-18 | 2024-10-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-21 | 2021-12-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-21 | 2021-12-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-21 | 2021-12-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-21 | 2021-12-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-21 | 2021-12-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-06-21 | 2021-12-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-21 | 2021-12-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-21 | 2021-08-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-06-21 | 2021-08-12 | 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 | 2021-06-21 | 2021-08-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-21 | 2021-08-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-06-21 | 2021-08-12 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2021-06-21 | 2021-08-12 | 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 | 2021-06-21 | 2021-07-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-06-21 | 2021-07-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-06-21 | 2021-07-23 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-06-21 | 2021-07-23 | 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 | 2021-06-21 | 2021-07-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-21 | 2021-07-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-21 | 2021-07-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-21 | 2021-07-23 | N |
| Provide appropriate foot care. | Health | 2021-06-21 | 2021-07-23 | 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 | 2021-06-21 | 2021-07-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-06-21 | 2021-07-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-21 | 2021-07-23 | 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 | 2021-06-21 | 2021-07-23 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-06-21 | 2021-07-23 | N |
| 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 | 2021-06-21 | 2021-07-23 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-06-21 | 2021-07-23 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-06-21 | 2021-07-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-21 | 2021-07-23 | 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 | 2021-06-21 | 2021-07-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-21 | 2021-07-23 | 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 | 2021-06-21 | 2021-07-23 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-06-21 | 2021-07-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-06-21 | 2021-07-23 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-06-21 | 2021-07-23 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-06-21 | 2021-07-23 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-06-21 | 2021-07-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-06-21 | 2021-07-23 | N |
| Respond appropriately to all alleged violations. | Health | 2021-06-21 | 2021-07-23 | 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 | 2019-07-26 | 2019-09-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-26 | 2019-09-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-07-26 | 2019-09-11 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-07-26 | 2019-09-11 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-07-26 | 2019-09-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-26 | 2019-09-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-26 | 2019-09-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-26 | 2019-08-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-26 | 2019-08-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-07-26 | 2019-08-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-07-26 | 2019-08-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-26 | 2019-08-26 | N |
| Provide appropriate foot care. | Health | 2019-07-26 | 2019-08-26 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-07-26 | 2019-08-26 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-26 | 2019-08-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-26 | 2019-08-26 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-07-26 | 2019-08-26 | N |
| 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 | 2019-07-26 | 2019-08-26 | 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 | 2019-07-26 | 2019-08-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-07-26 | 2019-08-26 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-07-26 | 2019-08-26 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-07-26 | 2019-08-26 | N |