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Deficiency Records for Autumn Lake Healthcare at Beloit
A list of the most recent deficiencies for Autumn Lake Healthcare at Beloit. 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 Beloit. 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? |
|---|---|---|---|---|
| Establish policies and procedures for volunteers. | Fire Safety | 2024-09-24 | 2024-10-18 | 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 | 2024-09-24 | 2024-10-18 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-09-24 | 2024-10-18 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-09-24 | 2024-10-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-09-24 | 2024-10-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-24 | 2024-10-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-09-24 | 2024-10-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-09-24 | 2024-10-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-24 | 2024-10-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-26 | 2024-02-26 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-12-21 | 2024-01-18 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-12-21 | 2024-01-18 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-26 | 2023-08-31 | 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 | 2023-06-26 | 2023-08-01 | 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 | 2023-06-26 | 2023-08-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-26 | 2023-08-01 | 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 | 2023-06-26 | 2023-08-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-26 | 2023-08-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-26 | 2023-08-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-26 | 2023-08-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-26 | 2023-08-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-06-26 | 2023-08-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-29 | 2023-07-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-29 | 2023-07-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-29 | 2023-07-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-29 | 2023-07-24 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-13 | 2022-06-09 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-04-13 | 2022-05-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-04-13 | 2022-05-11 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-04-13 | 2022-05-11 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-04-13 | 2022-05-11 | N |
| 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 | 2022-04-13 | 2022-05-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-13 | 2022-05-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-13 | 2022-05-11 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-04-13 | 2022-05-11 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2022-04-13 | 2022-05-11 | Y |
| 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 | 2022-04-13 | 2022-05-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-13 | 2022-05-11 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-04-13 | 2022-05-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-13 | 2022-05-11 | N |
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