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Deficiency Records for Autumn Lake Healthcare at Ruxton
A list of the most recent deficiencies for Autumn Lake Healthcare at Ruxton. 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 Ruxton. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-01-24 | 2022-03-23 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-01-24 | 2022-03-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-24 | 2022-03-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-24 | 2022-03-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-24 | 2022-03-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-24 | 2022-03-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-24 | 2022-03-23 | Y |
| Provide appropriate foot care. | Health | 2022-01-24 | 2022-03-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-24 | 2022-03-23 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-24 | 2022-03-23 | Y |
| 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 | 2022-01-24 | 2022-03-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-01-24 | 2022-03-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-24 | 2022-03-23 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-01-24 | 2022-03-23 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-01-24 | 2022-03-23 | Y |
| Report COVID19 data to residents and families. | Health | 2022-01-24 | 2022-03-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-18 | 2019-08-29 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-07-18 | 2019-08-29 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-07-18 | 2019-08-29 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2019-07-18 | 2019-08-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-07-18 | 2019-08-29 | 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 | 2019-07-18 | 2019-08-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-18 | 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 | 2019-07-18 | 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 | 2019-07-18 | 2019-08-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-18 | 2019-08-29 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-07-18 | 2019-08-29 | 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 | 2019-07-18 | 2019-08-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-18 | 2019-08-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-07-18 | 2019-08-29 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-07-18 | 2019-08-29 | 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 | 2019-07-18 | 2019-08-29 | N |
| Post nurse staffing information every day. | Health | 2019-07-18 | 2019-08-29 | 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 | 2019-07-18 | 2019-08-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-07-18 | 2019-08-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-07-18 | 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 | 2019-07-18 | 2019-08-29 | N |
| Provide or obtain dental services for each resident. | Health | 2019-07-18 | 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 | 2019-07-18 | 2019-08-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-18 | 2019-08-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-18 | 2019-08-29 | N |
| Keep all essential equipment working safely. | Health | 2019-07-18 | 2019-08-29 | N |
| Meet other general requirements. | Fire Safety | 2019-08-01 | 2019-08-29 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-08-01 | 2019-08-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-01 | 2019-08-29 | 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 | 2018-04-09 | 2018-05-22 | 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 | 2018-04-09 | 2018-05-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-04-09 | 2018-05-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-09 | 2018-05-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-04-09 | 2018-05-22 | 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 | 2018-04-09 | 2018-05-22 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-04-09 | 2018-05-22 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-04-09 | 2018-05-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-09 | 2018-05-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-09 | 2018-05-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-03-26 | 2018-05-07 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-01-27 | 2017-03-30 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-01-27 | 2017-03-30 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-01-27 | 2017-03-30 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-01-27 | 2017-03-30 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-01-27 | 2017-03-30 | N |
| Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | Health | 2017-01-27 | 2017-03-30 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-01-27 | 2017-03-30 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-01-27 | 2017-03-30 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-01-27 | 2017-03-30 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-01-27 | 2017-03-30 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-01-27 | 2017-03-30 | N |
| Provide or obtain dental services for each resident. | Health | 2017-01-27 | 2017-03-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-02-15 | 2017-03-27 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2017-02-15 | 2017-03-27 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2017-02-15 | 2017-03-27 | N |
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