Advanced Rehab at Autumn Lake Healthcare

In the surveyor’s words

From the most serious findings on record at Advanced Rehab at Autumn Lake Healthcare, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jan 11, 2024

  Based on a review of the facility investigation, resident medical records, and other pertinent documentation, interviews, and observations it was determined that the facility failed to provide immediate action, ongoing supervision, and/or a plan of care interventions to address a resident who was known to have exit seeking/elopement behaviors. This was evident for 1 (Resident #1) of 4 residents reviewed for elopement during the complaint survey. This failure resulted in an Immediate Jeopardy for Resident #1. The facility implemented effective and thorough corrective measures following this incident. The facility's plan and action were verified during this survey, therefore this deficiency will be cited as past noncompliance. […]

• No harm, potential for more than minimal, patternF610Jun 28, 2024

  Based on administrative record review and interviews with facility staff, it was determined the facility failed to complete a thorough investigation and maintain documents regarding allegations of resident abuse. This was found to be evident for 4 (Resident #424, Resident #101, Resident #120, and Resident # 99) of 25 residents reviewed for abuse during the facility's survey. Findings include, 1. MD00190231 was reviewed on 6/17/24 at 12:30PM for allegations of abuse. The survey team requested a copy of the facility's investigation for the incident that occurred on 2/27/23 with Resident #424. […]

• No harm, potential for more than minimal, patternF658Jun 28, 2024

  Based on interviews with the resident and facility staff and record reviews, it was determined the facility failed to follow professional standards of nursing practice when administering medications to residents. This was found to be evident for 5 (Resident #60, #15, #502, and #509, #102) of 76 residents reviewed during the survey. The findings include: 1.) Resident # 60 was admitted with the following but not limited diagnosis: Chronic Pain An interview was conducted with Resident # 60 on 6/13/24 at 11:15 AM and the resident stated that s/he cannot get medications on time. […]

• No harm, potential for more than minimal, patternF684Jan 11, 2024

  Based on observation, medical record review and interview with facility staff, it was revealed the facility failed to administer medications as ordered by the physician. This was evident for 1 of 1 (Resident #1) reviewed during the complaint survey. The findings include: Medical record review on 1/10/24 at 9am revealed that Resident #1's diagnoses included but were not limited to Dementia, Anxiety, high blood pressure, Depression and Multiple Sclerosis. According to the hospital discharge Resident #1 was admitted in October of 2022 for Physical and Occupational Therapy Rehabilitation. Review of resident #1's medical record on 1/10/24 at 2pm revealed the following: 1. […]

• No harm, potential for more than minimal, patternF577Nov 18, 2021

  Based on review of facility records and interview with staff it was determined that the facility failed to post in a place readily accessible to residents, family members and legal representatives of residents, the results of the most recent survey of the facility and any plan of correction in effect with respect to the facility. This was evident for 1 Focused Infection Control (FIC) and 1 Complaint survey conducted in the facility as well as 1 COVID-19 reporting survey. The findings include: Review of the facility's Survey Results binder on 11/17/21 at 11:10 AM revealed the most recent survey results were from a complaint survey conducted in the facility ending on 10/6/20. […]