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Deficiency Records for Autumn Lake Healthcare at Glen Hill
A list of the most recent deficiencies for Autumn Lake Healthcare at Glen Hill. 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 Lake Healthcare at Glen Hill. 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 | 2023-05-23 | 2023-07-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-23 | 2023-07-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-23 | 2023-07-13 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-05-23 | 2023-07-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-23 | 2023-07-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-05-23 | 2023-07-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-23 | 2023-07-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-23 | 2023-07-13 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-05-23 | 2023-07-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-05-23 | 2023-07-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-23 | 2023-07-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-23 | 2023-07-13 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-05-23 | 2023-07-03 | 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 | 2023-05-23 | 2023-07-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-23 | 2023-07-03 | N |
| 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 | 2023-05-23 | 2023-07-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-23 | 2023-07-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-23 | 2023-07-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-23 | 2023-07-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-23 | 2023-07-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-23 | 2023-07-03 | 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 | 2023-05-23 | 2023-07-03 | 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 | 2023-05-23 | 2023-07-03 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-05-23 | 2023-07-03 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-05-23 | 2023-07-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-23 | 2023-07-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-23 | 2023-07-03 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-05-23 | 2023-07-03 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-05-09 | 2023-05-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-03 | 2023-05-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-12 | 2023-03-09 | Y |
| Provide appropriate foot care. | Health | 2023-01-12 | 2023-03-09 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-12-15 | 2022-01-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-01-14 | 2021-02-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-01-14 | 2021-02-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-01-14 | 2021-02-25 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-01-06 | 2021-02-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-01-06 | 2021-02-18 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-01-06 | 2021-02-18 | 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 | 2021-01-06 | 2021-02-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-01-06 | 2021-02-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-07 | 2019-02-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-02-07 | 2019-02-27 | N |
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