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Deficiency Records for Autumn Leaves Nursing and Rehab Ctr, LLC
A list of the most recent deficiencies for Autumn Leaves Nursing and Rehab Ctr, LLC. 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 Leaves Nursing and Rehab Ctr, LLC. 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 dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-08 | 2024-06-13 | 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 | 2024-05-08 | 2024-06-13 | 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 | 2024-05-08 | 2024-06-13 | 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 | 2024-05-08 | 2024-06-13 | 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 | 2024-05-08 | 2024-06-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-12 | 2023-05-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-12 | 2023-05-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-12 | 2023-05-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-12 | 2023-05-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-12 | 2023-05-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-28 | 2022-11-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-12 | 2022-05-20 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-04-12 | 2022-05-20 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-04-12 | 2022-05-20 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-12 | 2022-05-20 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-04-12 | 2022-05-20 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-04-12 | 2022-05-20 | N |
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