AUTUMN LAKE HEALTHCARE AT PATUXENT RIVER LAUREL MD: Inspection Results (2024)

Inspection Results

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Autumn Lake Healthcare At Patuxent River has been cited for a total of 130 deficiencies since we began saving each survey. We believe it is worthwhile to show how things are and were. Some improve and some get worse. Rather than a snapshot, we take s longer view than most. A longer view, we believe, paints a better and more worthwhile picture. We start from them most recent and go back as you scroll down.

Tip: Surveys happen throughout the year and you may want to check with the location or here to see if more recent data is available for Autumn Lake Healthcare At Patuxent River.

Since we bagan longer term (multi year tracking, numbers will naturally be higher than 3 (or so surverys).
There are 238 nursing homes in Maryland with a total of 18,830 deficiencies resulting in an average of 79.12 deficiencies per nursing home.

The following table describes how deficiencies are scored. An easy way to remember the severity of a deficiency's scope is that the further along in the alphabet (A through L) the scope value is, the more severe the deficiency is.
Additionally, A through F means no actual harm has happened.

AUTUMN LAKE HEALTHCARE AT PATUXENT RIVER LAUREL MD: Inspection Results (2)


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Deficiency Cited, Scope, survery date, stems from a complaint, and Date of Correction

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category:

Resident Rights Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2022-05-06

Corrected:

2022-08-01

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category:

Resident Rights Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2022-05-06

Corrected:

2022-08-01

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.

Category:

Resident Rights Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2022-05-06

Corrected:

2022-08-01

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category:

Quality of Life and Care Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2022-05-06

Corrected:

2022-08-01

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category:

Quality of Life and Care Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2022-05-06

Corrected:

2022-08-01

Ensure that residents are free from significant medication errors.

Category:

Pharmacy Service Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2022-05-06

Corrected:

2022-08-01

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.

Category:

Pharmacy Service Deficiencies

Scope:

E

From Complaint:

N

Standard:

Y

Survey Date:

2022-05-06

Corrected:

2022-08-01

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category:

Nutrition and Dietary Deficiencies

Scope:

E

From Complaint:

N

Standard:

Y

Survey Date:

2022-05-06

Corrected:

2022-08-01

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category:

Nutrition and Dietary Deficiencies

Scope:

E

From Complaint:

N

Standard:

Y

Survey Date:

2022-05-06

Corrected:

2022-08-01

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category:

Environmental Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2022-05-06

Corrected:

2022-08-01

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category:

Resident Rights Deficiencies

Scope:

D

From Complaint:

Y

Standard:

Y

Survey Date:

2022-05-06

Corrected:

2022-08-01

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

D

From Complaint:

Y

Standard:

Y

Survey Date:

2022-05-06

Corrected:

2022-08-01

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

D

From Complaint:

Y

Standard:

Y

Survey Date:

2022-05-06

Corrected:

2022-08-01

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

D

From Complaint:

Y

Standard:

Y

Survey Date:

2022-05-06

Corrected:

2022-08-01

Provide safe, appropriate pain management for a resident who requires such services.

Category:

Quality of Life and Care Deficiencies

Scope:

G

From Complaint:

Y

Standard:

Y

Survey Date:

2022-05-06

Corrected:

2022-08-01

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

D

From Complaint:

Y

Standard:

Y

Survey Date:

2022-05-06

Corrected:

2022-08-01

Respond appropriately to all alleged violations.

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2022-05-06

Corrected:

2022-08-01

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category:

Resident Rights Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2022-05-06

Corrected:

2022-08-01

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category:

Resident Rights Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2022-05-06

Corrected:

2022-08-01

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category:

Resident Rights Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2022-05-06

Corrected:

2022-08-01

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.

Category:

Resident Rights Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2022-05-06

Corrected:

2022-08-01

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category:

Quality of Life and Care Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2022-05-06

Corrected:

2022-08-01

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category:

Quality of Life and Care Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2022-05-06

Corrected:

2022-08-01

Ensure that residents are free from significant medication errors.

Category:

Pharmacy Service Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2022-05-06

Corrected:

2022-08-01

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.

Category:

Pharmacy Service Deficiencies

Scope:

E

From Complaint:

N

Standard:

Y

Survey Date:

2022-05-06

Corrected:

2022-08-01

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category:

Nutrition and Dietary Deficiencies

Scope:

E

From Complaint:

N

Standard:

Y

Survey Date:

2022-05-06

Corrected:

2022-08-01

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category:

Nutrition and Dietary Deficiencies

Scope:

E

From Complaint:

N

Standard:

Y

Survey Date:

2022-05-06

Corrected:

2022-08-01

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category:

Environmental Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2022-05-06

Corrected:

2022-08-01

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category:

Resident Rights Deficiencies

Scope:

D

From Complaint:

Y

Standard:

Y

Survey Date:

2022-05-06

Corrected:

2022-08-01

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

D

From Complaint:

Y

Standard:

Y

Survey Date:

2022-05-06

Corrected:

2022-08-01

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

D

From Complaint:

Y

Standard:

Y

Survey Date:

2022-05-06

Corrected:

2022-08-01

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

D

From Complaint:

Y

Standard:

Y

Survey Date:

2022-05-06

Corrected:

2022-08-01

Provide safe, appropriate pain management for a resident who requires such services.

Category:

Quality of Life and Care Deficiencies

Scope:

G

From Complaint:

Y

Standard:

Y

Survey Date:

2022-05-06

Corrected:

2022-08-01

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

D

From Complaint:

Y

Standard:

Y

Survey Date:

2022-05-06

Corrected:

2022-08-01

Respond appropriately to all alleged violations.

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2022-05-06

Corrected:

2022-08-01

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category:

Resident Rights Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2022-05-06

Corrected:

2022-08-01

Protect each resident from the wrongful use of the resident's belongings or money.

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

D

From Complaint:

N

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category:

Resident Rights Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

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.

Category:

Resident Rights Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category:

Resident Rights Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

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.

Category:

Resident Rights Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Respond appropriately to all alleged violations.

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Ensure each resident receives an accurate assessment.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Plan the resident's discharge to meet the resident's goals and needs.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category:

Quality of Life and Care Deficiencies

Scope:

E

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category:

Quality of Life and Care Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Provide appropriate foot care.

Category:

Quality of Life and Care Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category:

Quality of Life and Care Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Provide enough food/fluids to maintain a resident's health.

Category:

Quality of Life and Care Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

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.

Category:

Quality of Life and Care Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Provide safe, appropriate pain management for a resident who requires such services.

Category:

Quality of Life and Care Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Category:

Nursing and Physician Services Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

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.

Category:

Pharmacy Service Deficiencies

Scope:

E

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

Category:

Administration Deficiencies

Scope:

F

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

E

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Protect each resident from the wrongful use of the resident's belongings or money.

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

D

From Complaint:

N

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category:

Resident Rights Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

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.

Category:

Resident Rights Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category:

Resident Rights Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

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.

Category:

Resident Rights Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Respond appropriately to all alleged violations.

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Ensure each resident receives an accurate assessment.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Plan the resident's discharge to meet the resident's goals and needs.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category:

Quality of Life and Care Deficiencies

Scope:

E

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category:

Quality of Life and Care Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Provide appropriate foot care.

Category:

Quality of Life and Care Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category:

Quality of Life and Care Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Provide enough food/fluids to maintain a resident's health.

Category:

Quality of Life and Care Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

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.

Category:

Quality of Life and Care Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Provide safe, appropriate pain management for a resident who requires such services.

Category:

Quality of Life and Care Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Category:

Nursing and Physician Services Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

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.

Category:

Pharmacy Service Deficiencies

Scope:

E

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

Category:

Administration Deficiencies

Scope:

F

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

E

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

D

From Complaint:

Y

Standard:

N

Survey Date:

2021-10-19

Corrected:

2021-12-14

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category:

Resident Rights Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

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.

Category:

Resident Rights Deficiencies

Scope:

E

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

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.

Category:

Resident Rights Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category:

Resident Rights Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category:

Quality of Life and Care Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

Provide activities to meet all resident's needs.

Category:

Quality of Life and Care Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category:

Quality of Life and Care Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category:

Quality of Life and Care Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

Provide safe and appropriate respiratory care for a resident when needed.

Category:

Quality of Life and Care Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category:

Pharmacy Service Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

Provide routine and 24-hour emergency dental care for each resident.

Category:

Quality of Life and Care Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category:

Environmental Deficiencies

Scope:

E

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

Put firmly secured handrails on each side of hallways.

Category:

Environmental Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category:

Resident Rights Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

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.

Category:

Resident Rights Deficiencies

Scope:

E

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

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.

Category:

Resident Rights Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category:

Resident Rights Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category:

Quality of Life and Care Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

Provide activities to meet all resident's needs.

Category:

Quality of Life and Care Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category:

Quality of Life and Care Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category:

Quality of Life and Care Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

Provide safe and appropriate respiratory care for a resident when needed.

Category:

Quality of Life and Care Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category:

Pharmacy Service Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

Provide routine and 24-hour emergency dental care for each resident.

Category:

Quality of Life and Care Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category:

Environmental Deficiencies

Scope:

E

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

Put firmly secured handrails on each side of hallways.

Category:

Environmental Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2018-09-19

Corrected:

2018-10-31

Give notice to the resident before a room or roommate change.

Category:

Resident Rights Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2017-05-30

Corrected:

2017-07-13

Provide housekeeping and maintenance services.

Category:

Environmental Deficiencies

Scope:

E

From Complaint:

N

Standard:

Y

Survey Date:

2017-05-30

Corrected:

2017-07-13

Conduct initial and periodic assessments of each resident's functional capacity.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2017-05-30

Corrected:

2017-07-13

Provide necessary care and services to maintain or improve the highest well being of each resident .

Category:

Quality of Life and Care Deficiencies

Scope:

E

From Complaint:

N

Standard:

Y

Survey Date:

2017-05-30

Corrected:

2017-07-13

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

Category:

Quality of Life and Care Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2017-05-30

Corrected:

2017-07-13

Give each resident enough fluids to keep them healthy and prevent dehydration.

Category:

Quality of Life and Care Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2017-05-30

Corrected:

2017-07-13

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

Category:

Pharmacy Service Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2017-05-30

Corrected:

2017-07-13

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.

Category:

Administration Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2017-05-30

Corrected:

2017-07-13

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

Category:

Administration Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2017-05-30

Corrected:

2017-07-13

Give notice to the resident before a room or roommate change.

Category:

Resident Rights Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2017-05-30

Corrected:

2017-07-13

Provide housekeeping and maintenance services.

Category:

Environmental Deficiencies

Scope:

E

From Complaint:

N

Standard:

Y

Survey Date:

2017-05-30

Corrected:

2017-07-13

Conduct initial and periodic assessments of each resident's functional capacity.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2017-05-30

Corrected:

2017-07-13

Provide necessary care and services to maintain or improve the highest well being of each resident .

Category:

Quality of Life and Care Deficiencies

Scope:

E

From Complaint:

N

Standard:

Y

Survey Date:

2017-05-30

Corrected:

2017-07-13

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

Category:

Quality of Life and Care Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2017-05-30

Corrected:

2017-07-13

Give each resident enough fluids to keep them healthy and prevent dehydration.

Category:

Quality of Life and Care Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2017-05-30

Corrected:

2017-07-13

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

Category:

Pharmacy Service Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2017-05-30

Corrected:

2017-07-13

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.

Category:

Administration Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2017-05-30

Corrected:

2017-07-13

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

Category:

Administration Deficiencies

Scope:

D

From Complaint:

N

Standard:

Y

Survey Date:

2017-05-30

Corrected:

2017-07-13

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