Deficiency Records for Autumn Lake Healthcare at Greenfield
Updated as of October 01, 2022
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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-23 | 2022-03-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-02-02 | 2022-02-18 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-02 | 2022-02-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-25 | 2021-06-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-25 | 2021-06-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-05-25 | 2021-06-10 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-05-25 | 2021-06-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-25 | 2021-06-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-25 | 2021-05-26 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-03-08 | 2021-03-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-08 | 2021-03-30 | 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 | 2021-03-08 | 2021-03-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-03-08 | 2021-03-30 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2021-03-08 | 2021-03-30 | 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 | 2021-03-08 | 2021-03-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-03-08 | 2021-03-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-08 | 2021-03-30 | N |
| Dispose of garbage and refuse properly. | Health | 2021-03-08 | 2021-03-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-08 | 2021-03-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-08 | 2021-03-30 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-03-04 | 2021-03-22 | 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 | 2021-03-04 | 2021-03-22 | 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 | 2021-03-04 | 2021-03-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-04 | 2021-03-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-01-06 | 2021-02-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-01-06 | 2021-02-02 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2020-11-09 | 2020-11-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-07-02 | 2020-08-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-04-30 | 2020-05-25 | 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 | 2020-01-30 | 2020-02-21 | 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 | 2020-01-30 | 2020-02-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-30 | 2020-02-21 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2020-01-30 | 2020-02-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-30 | 2020-02-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-30 | 2020-02-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-01-30 | 2020-02-21 | 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 | 2020-01-30 | 2020-02-21 | N |
| Provide or obtain dental services for each resident. | Health | 2020-01-30 | 2020-02-21 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2020-01-30 | 2020-02-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-30 | 2020-02-21 | 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 | 2020-01-31 | 2020-02-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-31 | 2020-02-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-03 | 2019-12-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-03 | 2019-12-31 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-10-31 | 2018-11-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-10-31 | 2018-11-30 | N |
| Respond appropriately to all alleged violations. | Health | 2018-10-31 | 2018-11-30 | N |
| 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 | 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 | 2018-10-31 | 2018-11-30 | N |
| 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 | 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 | 2018-10-31 | 2018-11-30 | N |
| 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 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-31 | 2018-11-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-10-31 | 2018-11-30 | 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 | 2018-10-31 | 2018-11-30 | N |
| 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 | 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 | 2018-10-31 | 2018-11-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-31 | 2018-11-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-25 | 2018-11-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-25 | 2018-11-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-25 | 2018-11-30 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2018-10-25 | 2018-11-30 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-05-16 | Not Fixed | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-16 | Not Fixed | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-16 | Not Fixed | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-16 | Not Fixed | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-05-16 | Not Fixed | Y |
