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Deficiency Records for Autumn Lake Healthcare at Glen Burnie
A list of the most recent deficiencies for Autumn Lake Healthcare at Glen Burnie. 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 Glen Burnie. 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? |
|---|---|---|---|---|
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-08-03 | 2023-09-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-03 | 2023-09-29 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-08-03 | 2023-09-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-03 | 2023-09-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-03 | 2023-09-29 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-08-03 | 2023-09-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-03 | 2023-09-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-03 | 2023-09-29 | Y |
| Provide appropriate foot care. | Health | 2023-08-03 | 2023-09-29 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-03 | 2023-09-29 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-03 | 2023-09-29 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-08-03 | 2023-09-29 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-08-03 | 2023-09-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-03 | 2023-09-29 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-03 | 2023-09-29 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-11 | 2020-01-21 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2019-12-11 | 2020-01-21 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2019-12-11 | 2020-01-21 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-12-11 | 2020-01-21 | 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 | 2019-12-11 | 2020-01-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-12-11 | 2020-01-21 | 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 | 2019-12-11 | 2020-01-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-12-11 | 2020-01-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-12-11 | 2020-01-21 | 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 | 2019-12-11 | 2020-01-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-11 | 2020-01-21 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-12-11 | 2020-01-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-11 | 2020-01-21 | 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 | 2019-12-11 | 2020-01-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-12-11 | 2020-01-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-12-11 | 2020-01-21 | N |
| Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist. | Health | 2019-12-11 | 2020-01-21 | N |
| Post nurse staffing information every day. | Health | 2019-12-11 | 2020-01-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-11 | 2020-01-21 | 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 | 2019-12-11 | 2020-01-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-12-11 | 2020-01-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-11 | 2020-01-21 | 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 | 2019-12-11 | 2020-01-21 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-12-11 | 2020-01-21 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-12-11 | 2020-01-21 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-12-11 | 2020-01-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-12-11 | 2020-01-21 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-12-11 | 2020-01-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-11 | 2020-01-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-12-11 | 2020-01-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-11 | 2020-01-21 | N |
| Keep all essential equipment working safely. | Health | 2019-12-11 | 2020-01-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-12-11 | 2020-01-21 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-11-06 | 2019-12-07 | 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 | 2019-11-06 | 2019-12-07 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2019-11-06 | 2019-12-07 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-11-06 | 2019-12-07 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-11-06 | 2019-12-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-06 | 2019-12-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-06 | 2019-12-07 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-11-06 | 2019-12-07 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-11-06 | 2019-12-07 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-11-06 | 2019-12-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-06 | 2019-12-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-06-15 | 2018-07-30 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-06-15 | 2018-07-30 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-06-15 | 2018-07-30 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-06-15 | 2018-07-30 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2018-06-15 | 2018-07-30 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-06-15 | 2018-07-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-06-15 | 2018-07-30 | 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 | 2018-06-15 | 2018-07-30 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2018-06-15 | 2018-07-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-06-15 | 2018-07-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-06-15 | 2018-07-30 | N |
| Respond appropriately to all alleged violations. | Health | 2018-06-15 | 2018-07-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-06-15 | 2018-07-30 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-06-15 | 2018-07-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-06-15 | 2018-07-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-06-15 | 2018-07-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-15 | 2018-07-30 | 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 | 2018-06-15 | 2018-07-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-15 | 2018-07-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-15 | 2018-07-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-15 | 2018-07-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-06-15 | 2018-07-30 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-06-15 | 2018-07-30 | N |
| Post nurse staffing information every day. | Health | 2018-06-15 | 2018-07-30 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2018-06-15 | 2018-07-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-06-15 | 2018-07-30 | 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 | 2018-06-15 | 2018-07-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-06-15 | 2018-07-30 | 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 | 2018-06-15 | 2018-07-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-06-15 | 2018-07-30 | N |
| Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2018-06-15 | 2018-07-30 | N |
| Keep complete, dated laboratory records in the resident's record. | Health | 2018-06-15 | 2018-07-30 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-06-15 | 2018-07-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-15 | 2018-07-30 | N |
| Dispose of garbage and refuse properly. | Health | 2018-06-15 | 2018-07-30 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2018-06-15 | 2018-07-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-06-15 | 2018-07-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-15 | 2018-07-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-06-15 | 2018-07-30 | N |
| Keep all essential equipment working safely. | Health | 2018-06-15 | 2018-07-30 | N |
| Tell the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2017-02-21 | 2017-04-07 | N |
| Provide housekeeping and maintenance services. | Health | 2017-02-21 | 2017-04-07 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-02-21 | 2017-04-07 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-21 | 2017-04-07 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-02-21 | 2017-04-07 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-02-21 | 2017-04-07 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-02-21 | 2017-04-07 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-21 | 2017-04-07 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-02-21 | 2017-04-07 | N |
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