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Deficiency Records for Nella's at Autumn Lake Healthcare
View the most recent health deficiencies and inspection results for Nella's at Autumn Lake Healthcare. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Nella's at Autumn Lake Healthcare. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2025-12-30 | 2026-01-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-30 | 2026-01-20 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2025-12-30 | 2026-01-20 | Y |
| 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 | 2025-12-30 | 2026-01-20 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-08-05 | 2025-09-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-08-05 | 2025-09-09 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2025-08-05 | 2025-09-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-08-05 | 2025-09-09 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-08-05 | 2025-09-09 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-08-05 | 2025-09-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-08-05 | 2025-09-02 | N |
| Provide activities to meet all resident's needs. | Health | 2025-08-05 | 2025-09-02 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-08-05 | 2025-09-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-05 | 2025-09-02 | 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 | 2025-08-05 | 2025-09-02 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2025-08-05 | 2025-09-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-05 | 2025-09-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-08-05 | 2025-09-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-05 | 2025-09-02 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2025-08-05 | 2025-09-02 | Y |
| 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 | 2025-08-05 | 2025-09-02 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-08-05 | 2025-09-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-05 | 2025-08-06 | N |
| Keep all essential equipment working safely. | Health | 2024-07-04 | 2024-08-27 | Y |
| 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 | 2024-07-04 | 2024-08-27 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-11-08 | 2023-12-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-08 | 2023-12-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-08 | 2023-12-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-08 | 2023-12-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-08 | 2023-12-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-08 | 2023-12-26 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-11-08 | 2023-12-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-08 | 2023-12-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-08 | 2023-12-15 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-11-08 | 2023-12-08 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-11-08 | 2023-12-08 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-11-08 | 2023-12-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-08 | 2023-12-08 | N |
| Post nurse staffing information every day. | Health | 2023-11-08 | 2023-12-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-11-08 | 2023-12-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-08 | 2023-12-08 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-11-08 | 2023-12-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-08 | 2023-12-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-08 | 2023-12-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-08 | 2023-12-08 | 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 | 2023-11-08 | 2023-12-08 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-06-02 | 2021-06-28 | 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 | 2021-06-02 | 2021-06-28 | 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 | 2021-06-02 | 2021-06-28 | N |