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Deficiency Records for Autumn Lake Healthcare at Silver Spring
A list of the most recent deficiencies for Autumn Lake Healthcare at Silver Spring. 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 Silver Spring. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-01-16 | 2025-02-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-01-16 | 2025-02-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-01-16 | 2025-02-01 | 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 | 2025-01-16 | 2025-02-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-01-16 | 2025-02-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-16 | 2025-02-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-01-16 | 2025-02-01 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-01-16 | 2025-02-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-01-16 | 2025-02-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-16 | 2025-02-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-01-16 | 2025-02-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-12-06 | 2025-01-31 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-12-06 | 2025-01-31 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-12-06 | 2025-01-31 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-12-06 | 2025-01-31 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-12-06 | 2025-01-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-06 | 2025-01-31 | Y |
| Dispose of garbage and refuse properly. | Health | 2024-12-06 | 2025-01-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-12-06 | 2025-01-31 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-07 | 2024-03-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-02-07 | 2024-03-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-07 | 2024-03-08 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-02-07 | 2024-03-08 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-02-07 | 2024-03-08 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-07 | 2024-03-08 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-13 | 2019-09-17 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-08-13 | 2019-09-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-13 | 2019-09-17 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-08-02 | 2019-09-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-08-02 | 2019-09-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-02 | 2019-09-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-02 | 2019-09-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-02 | 2019-09-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-02 | 2019-09-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-02 | 2019-09-11 | 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 | 2019-08-02 | 2019-09-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-02 | 2019-09-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-09-27 | 2018-11-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-09-27 | 2018-11-06 | 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 | 2018-09-27 | 2018-11-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-09-27 | 2018-11-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-27 | 2018-11-06 | 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 | 2018-09-27 | 2018-11-06 | 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 | 2018-09-27 | 2018-11-06 | N |
| Dispose of garbage and refuse properly. | Health | 2018-09-27 | 2018-11-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-27 | 2018-11-06 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-09-27 | 2018-11-06 | N |
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