CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Autumn Lake Healthcare at Chesapeake Woods
A list of the most recent deficiencies for Autumn Lake Healthcare at Chesapeake Woods. 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 Chesapeake Woods. 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 residents are fully informed and understand their health status, care and treatments. | Health | 2024-03-05 | 2024-04-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-05 | 2024-04-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-05 | 2024-04-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-05 | 2024-04-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-03-05 | 2024-04-30 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2024-03-05 | 2024-04-30 | Y |
| 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 | 2024-03-05 | 2024-04-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-05 | 2024-04-30 | 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 | 2024-03-05 | 2024-04-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-05 | 2024-04-30 | 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 | 2024-03-05 | 2024-04-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-03-05 | 2024-04-30 | 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 | 2024-03-05 | 2024-04-30 | 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 | 2024-03-05 | 2024-04-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-05 | 2024-04-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-05 | 2024-04-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-05 | 2024-04-30 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-02-27 | 2024-04-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-02-27 | 2024-04-23 | 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 | 2024-02-27 | 2024-04-23 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-02-27 | 2024-04-23 | 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 | 2024-02-27 | 2024-04-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-27 | 2024-04-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-27 | 2024-04-23 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-02-27 | 2024-04-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-27 | 2024-04-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-02-27 | 2024-04-23 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-02-27 | 2024-04-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-27 | 2024-04-23 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-02-27 | 2024-04-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-02-27 | 2024-04-23 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-02-27 | 2024-04-23 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-02-27 | 2024-04-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-27 | 2024-04-23 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-02-27 | 2024-04-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-27 | 2024-04-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-02 | 2022-04-29 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-12-02 | 2022-04-29 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-25 | 2019-08-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-25 | 2019-08-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-06-25 | 2019-08-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-25 | 2019-08-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-06-25 | 2019-08-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-29 | 2019-05-29 | N |
| Respond appropriately to all alleged violations. | Health | 2019-03-29 | 2019-05-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-29 | 2019-05-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-29 | 2019-05-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-29 | 2019-05-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-29 | 2019-05-29 | 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 | 2019-03-29 | 2019-05-29 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-03-29 | 2019-05-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-29 | 2019-05-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-29 | 2019-05-29 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-03-29 | 2019-05-29 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2019-03-29 | 2019-05-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-29 | 2019-05-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-29 | 2019-05-29 | N |
| Keep all essential equipment working safely. | Health | 2019-03-29 | 2019-05-29 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-11-03 | 2017-12-18 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-11-03 | 2017-12-18 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-11-03 | 2017-12-18 | 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 | 2017-11-03 | 2017-12-18 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-11-03 | 2017-12-18 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-11-03 | 2017-12-18 | N |
| Keep all essential equipment working safely. | Health | 2017-11-03 | 2017-12-18 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-11-03 | 2017-12-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-09-21 | 2017-10-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-09-21 | 2017-10-05 | N |
Healthcare Search Options
Make informed decisions about your healthcare optionsOur site is designed to help you find the information you need quickly and easily, no matter what type of healthcare provider you're looking for. We provide a wealth of statistics and data that can help you make informed decisions about your healthcare options.
Purchase a Marketing or Other Report from our Database
We can provide custom data reports based on our database of skilled nursing facilities. Anything from emails to spreadsheets to an API. Bring the data directly into Salesforce or any other CRM.
- Facility Name
- Owner Name
- Mailing Address
- Contact Information
- Phone Numbers
- Website Addresses
- File Formats: .xls, .csv, .txt
- APIs
Reports updated monthly.
