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Deficiency Records for Autumnwood of Deckerville
A list of the most recent deficiencies for Autumnwood of Deckerville. 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 Autumnwood of Deckerville. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-22 | 2024-08-16 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-03-20 | 2024-04-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-20 | 2024-04-17 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-03-20 | 2024-04-17 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-03-20 | 2024-04-17 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-03-20 | 2024-04-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-20 | 2024-04-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-20 | 2024-04-17 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-03-20 | 2024-04-17 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-03-20 | 2024-04-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-03-20 | 2024-04-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-03-20 | 2024-04-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-20 | 2024-04-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-16 | 2023-03-23 | 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 | 2023-02-16 | 2023-03-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-16 | 2023-03-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-16 | 2023-03-23 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-02-16 | 2023-03-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-16 | 2023-03-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-16 | 2023-03-23 | 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 | 2023-02-16 | 2023-03-23 | 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 | 2023-02-16 | 2023-03-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-16 | 2023-03-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-16 | 2023-03-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-16 | 2023-03-23 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-02-08 | 2023-03-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-02-08 | 2023-03-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-08 | 2023-03-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-08 | 2023-03-23 | 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 | 2021-11-05 | 2021-12-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-05 | 2021-12-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-05 | 2021-12-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-05 | 2021-12-08 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-11-05 | 2021-12-08 | N |
| Provide activities to meet all resident's needs. | Health | 2021-11-05 | 2021-12-08 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-11-05 | 2021-12-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-05 | 2021-12-08 | 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 | 2021-11-05 | 2021-12-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-05 | 2021-12-08 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-11-05 | 2021-12-08 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-11-05 | 2021-12-08 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-11-04 | 2021-12-08 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-11-04 | 2021-12-08 | N |
| Develop a communication plan. | Fire Safety | 2021-11-04 | 2021-12-08 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-11-04 | 2021-12-08 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-11-04 | 2021-12-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-11-04 | 2021-12-08 | 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 | 2021-11-04 | 2021-12-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-11-04 | 2021-12-08 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-11-04 | 2021-12-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-04 | 2021-12-08 | N |
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