Deficiency Records for Autumn Lake Healthcare at Greenfield
Updated as of October 01, 2016
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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-01 | 2016-06-09 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-06-01 | 2016-06-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-01 | 2016-06-09 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-06-01 | 2016-06-09 | Y |
| 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 | 2016-03-23 | 2016-03-29 | Y |
| 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 | 2016-03-23 | 2016-03-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-01-14 | 2016-02-17 | Y |
| Provide food in a way that meets a resident's needs. | Health | 2016-01-14 | 2016-02-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-01-14 | 2016-02-17 | Y |
| Provide food in a way that meets a resident's needs. | Health | 2016-01-14 | 2016-02-17 | Y |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-06-08 | 2015-07-30 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-06-08 | 2015-07-30 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-06-08 | 2015-07-30 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-06-08 | 2015-07-30 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-06-08 | 2015-07-30 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-06-08 | 2015-07-30 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-06-09 | 2015-07-27 | 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 | 2015-06-09 | 2015-07-27 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-06-09 | 2015-07-27 | 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 | 2015-06-09 | 2015-07-27 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2015-06-09 | 2015-07-20 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2015-06-09 | 2015-07-20 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-06-09 | 2015-07-20 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-06-09 | 2015-07-20 | 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 | 2015-06-09 | 2015-07-20 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2015-06-09 | 2015-07-20 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-06-09 | 2015-07-20 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-06-09 | 2015-07-20 | N |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2015-06-09 | 2015-07-20 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2015-06-09 | 2015-07-20 | Y |
| 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 | 2015-06-09 | 2015-07-20 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-06-09 | 2015-07-20 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-06-09 | 2015-07-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-06-09 | 2015-07-20 | Y |
| Provide housekeeping and maintenance services. | Health | 2015-06-09 | 2015-07-20 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-06-09 | 2015-07-20 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-06-09 | 2015-07-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-06-09 | 2015-07-20 | Y |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2015-06-09 | 2015-07-20 | Y |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2015-06-09 | 2015-07-20 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-06-09 | 2015-07-20 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-06-09 | 2015-07-20 | Y |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2015-06-09 | 2015-07-20 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2015-06-09 | 2015-07-20 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-06-09 | 2015-07-20 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-06-09 | 2015-07-20 | 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 | 2015-06-09 | 2015-07-20 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2015-06-09 | 2015-07-20 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-06-09 | 2015-07-20 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-06-09 | 2015-07-20 | N |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2015-06-09 | 2015-07-20 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2015-06-09 | 2015-07-20 | Y |
| 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 | 2015-06-09 | 2015-07-20 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-06-09 | 2015-07-20 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-06-09 | 2015-07-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-06-09 | 2015-07-20 | Y |
| Provide housekeeping and maintenance services. | Health | 2015-06-09 | 2015-07-20 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-06-09 | 2015-07-20 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-06-09 | 2015-07-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-06-09 | 2015-07-20 | Y |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2015-06-09 | 2015-07-20 | Y |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2015-06-09 | 2015-07-20 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-06-09 | 2015-07-20 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-06-09 | 2015-07-20 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-01-26 | 2015-02-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-01-26 | 2015-02-09 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-01-26 | 2015-02-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-01-26 | 2015-02-09 | Y |
| 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 | 2014-07-02 | 2014-07-17 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-07-02 | 2014-07-17 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-07-02 | 2014-07-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-07-02 | 2014-07-17 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-07-02 | 2014-07-17 | Y |
| 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 | 2014-07-02 | 2014-07-17 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-07-02 | 2014-07-17 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-07-02 | 2014-07-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-07-02 | 2014-07-17 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-07-02 | 2014-07-17 | Y |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2014-06-09 | 2014-06-10 | Y |
| 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 | 2014-06-09 | 2014-06-10 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-06-09 | 2014-06-10 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-06-09 | 2014-06-10 | Y |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2014-06-09 | 2014-06-10 | Y |
| 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 | 2014-06-09 | 2014-06-10 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-06-09 | 2014-06-10 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-06-09 | 2014-06-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-03-27 | 2014-05-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-05-20 | 2014-05-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-03-27 | 2014-05-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-05-20 | 2014-05-20 | Y |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2014-03-27 | 2014-05-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2014-03-27 | 2014-05-05 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-03-27 | 2014-05-05 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2014-03-27 | 2014-05-05 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2014-03-27 | 2014-05-05 | N |
| Keep all essential equipment working safely. | Health | 2014-03-27 | 2014-05-05 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-03-27 | 2014-05-05 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-03-27 | 2014-05-05 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-03-27 | 2014-05-05 | Y |
| 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 | 2014-03-27 | 2014-05-05 | Y |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2014-03-27 | 2014-05-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2014-03-27 | 2014-05-05 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-03-27 | 2014-05-05 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2014-03-27 | 2014-05-05 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2014-03-27 | 2014-05-05 | N |
| Keep all essential equipment working safely. | Health | 2014-03-27 | 2014-05-05 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-03-27 | 2014-05-05 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-03-27 | 2014-05-05 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-03-27 | 2014-05-05 | Y |
| 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 | 2014-03-27 | 2014-05-05 | Y |
| A two-hour-resistant firewall separation. | Fire Safety | 2014-03-27 | 2014-04-27 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2014-03-27 | 2014-04-27 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-03-27 | 2014-04-27 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-03-27 | 2014-04-27 | N |
| Corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2014-03-27 | 2014-04-27 | N |
| A written emergency evacuation plan. | Fire Safety | 2014-03-27 | 2014-04-27 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2014-03-27 | 2014-04-27 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2014-03-27 | 2014-04-27 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2014-03-27 | 2014-04-27 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2014-03-27 | 2014-04-27 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-03-27 | 2014-04-27 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-03-27 | 2014-04-27 | N |
| Corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2014-03-27 | 2014-04-27 | N |
| A written emergency evacuation plan. | Fire Safety | 2014-03-27 | 2014-04-27 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2014-03-27 | 2014-04-27 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2014-03-27 | 2014-04-27 | 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 | 2013-11-04 | 2013-11-22 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2013-11-04 | 2013-11-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-11-04 | 2013-11-22 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-11-04 | 2013-11-22 | Y |
| 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 | 2013-11-04 | 2013-11-22 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2013-11-04 | 2013-11-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-11-04 | 2013-11-22 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-11-04 | 2013-11-22 | Y |
| Properly protected cooking facilities. | Fire Safety | 2013-01-29 | 2013-02-21 | N |
| Properly protected cooking facilities. | Fire Safety | 2013-01-29 | 2013-02-21 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2013-01-29 | 2013-02-15 | N |
| Other fire safety features required by fire safety codes. | Fire Safety | 2013-01-29 | 2013-02-15 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2013-01-29 | 2013-02-15 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2013-01-29 | 2013-02-15 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-01-29 | 2013-02-15 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2013-01-29 | 2013-02-15 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2013-01-29 | 2013-02-15 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2013-01-29 | 2013-02-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-01-29 | 2013-02-15 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2013-01-29 | 2013-02-15 | N |
| Other fire safety features required by fire safety codes. | Fire Safety | 2013-01-29 | 2013-02-15 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2013-01-29 | 2013-02-15 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2013-01-29 | 2013-02-15 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-01-29 | 2013-02-15 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2013-01-29 | 2013-02-15 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2013-01-29 | 2013-02-15 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2013-01-29 | 2013-02-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-01-29 | 2013-02-15 | N |
