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Deficiency Records for Autumn Ridge Rehabilitation Centre
A list of the most recent deficiencies for Autumn Ridge Rehabilitation Centre. 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 Ridge Rehabilitation Centre. 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? |
|---|---|---|---|---|
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-07-12 | 2024-07-31 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-07-12 | 2024-07-31 | 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 | 2024-07-12 | 2024-07-31 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-07-12 | 2024-07-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-12 | 2024-07-31 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2024-07-12 | 2024-07-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-12 | 2024-07-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-12 | 2024-07-31 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-06-18 | 2024-07-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-18 | 2024-07-08 | N |
| Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | Health | 2024-06-18 | 2024-07-08 | 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 | 2023-06-15 | 2023-07-13 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-06-15 | 2023-07-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-15 | 2023-07-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-15 | 2023-07-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-15 | 2023-07-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-19 | 2022-09-10 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2022-07-19 | 2022-08-20 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-07-19 | 2022-08-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-07-19 | 2022-08-20 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-07-19 | 2022-08-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-19 | 2022-08-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-19 | 2022-08-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-07-19 | 2022-08-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-06 | 2022-06-29 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-06 | 2022-06-29 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-06-06 | 2022-06-29 | 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 | 2022-06-06 | 2022-06-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-06 | 2022-06-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-06 | 2022-06-29 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-01-25 | 2022-02-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-28 | 2021-11-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-28 | 2021-11-18 | Y |
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