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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? |
|---|---|---|---|---|
| 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 |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-10-27 | 2017-12-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-10-27 | 2017-12-05 | N |
| Provide housekeeping and maintenance services. | Health | 2017-10-27 | 2017-12-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-10-27 | 2017-12-05 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-10-27 | 2017-12-05 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-27 | 2017-12-05 | 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 | 2017-10-27 | 2017-12-05 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-10-27 | 2017-12-05 | N |
| Dispose of garbage and refuse properly. | Health | 2017-10-27 | 2017-12-05 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2017-10-27 | 2017-12-05 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-27 | 2017-12-05 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-10-27 | 2017-12-05 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-10-27 | 2017-12-05 | N |
| Meet other general requirements. | Fire Safety | 2017-10-23 | 2017-11-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-10-23 | 2017-11-30 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-10-23 | 2017-11-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-10-23 | 2017-11-30 | N |
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