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Deficiency Records for Autumn Hills Health Care Center
A list of the most recent deficiencies for Autumn Hills Health Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Autumn Hills Health Care Center. 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 special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-06-10 | 2024-07-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-10 | 2024-07-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-06-10 | 2024-07-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-10 | 2024-07-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-10 | 2024-07-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-06 | 2024-07-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-06 | 2024-07-05 | 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 | 2024-06-06 | 2024-07-05 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-06-06 | 2024-07-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-06 | 2024-07-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-06-06 | 2024-07-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-06 | 2024-07-05 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-06-06 | 2024-07-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-06 | 2024-07-05 | 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 | 2024-06-06 | 2024-07-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-06-06 | 2024-07-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-16 | 2023-11-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-30 | 2023-04-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-30 | 2023-04-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-15 | 2022-12-02 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-11-15 | 2022-12-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-15 | 2022-12-02 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-20 | 2022-04-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-20 | 2022-04-14 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2022-03-20 | 2022-04-14 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-03-20 | 2022-04-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-20 | 2022-04-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-20 | 2022-04-14 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-03-20 | 2022-04-14 | 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 | 2022-03-20 | 2022-04-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-20 | 2022-04-14 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-03-20 | 2022-04-14 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-03-20 | 2022-04-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-03-20 | 2022-04-14 | 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 | 2022-03-20 | 2022-04-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-20 | 2022-04-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-20 | 2022-04-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-03-20 | 2022-04-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-31 | 2019-09-03 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-07-31 | 2019-09-03 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-07-31 | 2019-09-03 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-07-31 | 2019-09-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-07-31 | 2019-09-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-31 | 2019-09-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-31 | 2019-09-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-01 | 2019-08-29 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-08-01 | 2019-08-29 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-08-01 | 2019-08-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-01 | 2019-08-29 | 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 | 2019-08-01 | 2019-08-29 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2019-08-01 | 2019-08-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-01 | 2019-08-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-01 | 2019-08-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-01 | 2019-08-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-01 | 2019-08-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-08-01 | 2019-08-29 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-08-01 | 2019-08-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-01 | 2019-08-29 | 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 | 2019-08-01 | 2019-08-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-01 | 2019-08-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-01 | 2019-08-29 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-08-01 | 2019-08-29 | N |
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