A list of the most recent deficiencies for Autumn Leaves Nursing and Rehab Inc. 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? |
---|---|---|---|---|
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 | 2024-01-31 | 2024-02-26 | N |
Ensure each resident receives an accurate assessment. | Health | 2024-01-31 | 2024-02-26 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-31 | 2024-02-26 | N |
Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-01-31 | 2024-02-26 | N |
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2024-01-31 | 2024-02-26 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-31 | 2024-02-26 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-31 | 2024-02-26 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-31 | 2024-02-26 | 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 | 2024-01-31 | 2024-02-26 | Y |
Provide and implement an infection prevention and control program. | Health | 2024-01-31 | 2024-02-26 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-12 | 2023-06-13 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-19 | 2022-11-07 | 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 | 2022-10-19 | 2022-11-07 | N |
Have an alternate power supply for its alarm system. | Fire Safety | 2022-11-03 | 2022-11-04 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-19 | 2022-10-20 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-19 | 2022-10-20 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-25 | 2021-09-16 | N |
Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-08-25 | 2021-09-16 | N |
Provide and implement an infection prevention and control program. | Health | 2021-08-25 | 2021-09-16 | 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 | 2021-08-25 | 2021-09-16 | N |