Deficiency Records for Autumn Lake Healthcare at Greenfield
Updated as of November 01, 2019
This is not the most recent data for Autumn Lake Healthcare at Greenfield. For the most recent information, click here.
A list of the most recent deficiencies for Autumn Lake Healthcare at Greenfield. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-02 | 2019-07-12 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-04-10 | 2019-05-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-10 | 2019-05-08 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-10-31 | 2018-11-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-10-31 | 2018-11-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-10-31 | 2018-11-30 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-31 | 2018-11-30 | Y |
| 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 | 2018-10-31 | 2018-11-30 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2018-10-31 | 2018-11-30 | 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 | 2018-10-31 | 2018-11-30 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-10-31 | 2018-11-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-31 | 2018-11-30 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-10-31 | 2018-11-30 | Y |
| 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 | 2018-10-31 | 2018-11-30 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-31 | 2018-11-30 | Y |
| 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 | 2018-10-31 | 2018-11-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-10-31 | 2018-11-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-06-20 | 2018-07-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-20 | 2018-07-11 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-06-20 | 2018-07-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-06-20 | 2018-07-11 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-07 | 2017-12-21 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-12-07 | 2017-12-21 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-12-07 | 2017-12-21 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-05 | 2017-12-21 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-10-05 | 2017-12-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-05 | 2017-12-21 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-10-05 | 2017-12-21 | Y |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-10-05 | 2017-12-07 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-10-05 | 2017-12-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-10-05 | 2017-12-07 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-10-05 | 2017-12-07 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-10-05 | 2017-12-07 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-10-05 | 2017-12-07 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2017-10-05 | 2017-12-07 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-10-05 | 2017-12-07 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-10-05 | 2017-12-07 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-10-05 | 2017-12-07 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-10-05 | 2017-12-07 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-10-05 | 2017-12-07 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-05 | 2017-12-07 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-10-05 | 2017-12-07 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-10-05 | 2017-12-07 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-10-05 | 2017-12-07 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-05 | 2017-12-07 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-10-05 | 2017-12-07 | Y |
| Hire sufficient dietary support personnel. | Health | 2017-10-05 | 2017-12-07 | Y |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2017-09-27 | 2017-11-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-09-27 | 2017-11-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-09-27 | 2017-11-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-09-27 | 2017-11-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-09-27 | 2017-11-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-09-27 | 2017-11-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-09-27 | 2017-11-20 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-06 | 2017-07-06 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-01-30 | 2017-02-24 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-01-30 | 2017-02-24 | Y |
| A two-hour-resistant firewall separation. | Fire Safety | 2016-08-24 | 2016-09-30 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-08-24 | 2016-09-30 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-08-24 | 2016-09-30 | N |
| Properly maintained smoke detectors. | Fire Safety | 2016-08-24 | 2016-09-30 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2016-08-30 | 2016-09-30 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2016-08-30 | 2016-09-30 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-08-30 | 2016-09-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-08-30 | 2016-09-30 | N |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2016-08-30 | 2016-09-30 | N |
