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Deficiency Records for Autumn Lake Healthcare at Overlea
A list of the most recent deficiencies for Autumn Lake Healthcare at Overlea. 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 Overlea. 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 | 2021-08-04 | 2021-09-17 | 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 | 2021-08-04 | 2021-09-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-04 | 2021-09-17 | 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 | 2021-08-04 | 2021-09-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-04 | 2021-09-17 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-08-04 | 2021-09-17 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2021-08-04 | 2021-09-17 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-08-04 | 2021-09-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-23 | 2021-08-27 | 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 | 2021-07-23 | 2021-08-27 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-07-23 | 2021-08-27 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-07-23 | 2021-08-27 | 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 | 2021-07-23 | 2021-08-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-07-23 | 2021-08-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-23 | 2021-08-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-23 | 2021-08-27 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-07-23 | 2021-08-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-23 | 2021-08-27 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-07-23 | 2021-08-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-07-23 | 2021-08-27 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-07-23 | 2021-08-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-23 | 2021-08-27 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-07-23 | 2021-08-27 | N |
| Meet other general requirements. | Fire Safety | 2018-12-06 | 2018-12-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-12-06 | 2018-12-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-12-06 | 2018-12-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-12-06 | 2018-12-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-12-06 | 2018-12-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-12-06 | 2018-12-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-06 | 2018-12-30 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2018-12-06 | 2018-12-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-12-06 | 2018-12-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-31 | 2018-11-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-08-31 | 2018-11-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-08-31 | 2018-11-05 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-08-31 | 2018-11-05 | 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 | 2018-08-31 | 2018-11-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-31 | 2018-11-05 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-08-31 | 2018-11-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-31 | 2018-11-05 | 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 | 2018-08-31 | 2018-11-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-08-31 | 2018-11-05 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2018-08-31 | 2018-11-05 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-08-31 | 2018-11-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-31 | 2018-11-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-31 | 2018-11-05 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-08-31 | 2018-11-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-31 | 2018-11-05 | N |
| Provide appropriate foot care. | Health | 2018-08-31 | 2018-11-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-31 | 2018-11-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-08-31 | 2018-11-05 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2018-08-31 | 2018-11-05 | 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 | 2018-08-31 | 2018-11-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-08-31 | 2018-11-05 | 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 | 2018-08-31 | 2018-11-05 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-08-31 | 2018-11-05 | N |
| Provide or obtain dental services for each resident. | Health | 2018-08-31 | 2018-11-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-31 | 2018-11-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-31 | 2018-11-05 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-08-31 | 2018-11-05 | 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 | 2017-06-06 | 2017-09-07 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2017-06-06 | 2017-09-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-06-06 | 2017-09-07 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2017-06-06 | 2017-09-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-06-06 | 2017-09-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-05-18 | 2017-08-01 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-05-18 | 2017-08-01 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-05-18 | 2017-08-01 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-18 | 2017-08-01 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-18 | 2017-08-01 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-05-18 | 2017-08-01 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-05-18 | 2017-08-01 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-05-18 | 2017-08-01 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-05-18 | 2017-08-01 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-18 | 2017-08-01 | N |
| Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers. | Health | 2017-05-18 | 2017-08-01 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-05-18 | 2017-08-01 | N |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2017-05-18 | 2017-08-01 | N |
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