Deficiency Records for Autumn Lake Healthcare at Greenfield
Updated as of April 01, 2018
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? |
---|---|---|---|---|
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 |
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 |
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 |
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 |
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 |