Autumn Aegis Nursing Home

In the surveyor’s words

From the most serious findings on record at Autumn Aegis Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF921May 2, 2024

  Based on observation and staff interview, the facility failed to maintain a clean, sanitary, and safe environment. This had the potential to affect all 86 residents. The facility census was 86. Findings Include: Observation of the facility environment on 05/02/24 between 9:30 A.M. and 10:00 A.M., with Maintenance Director (MD) #210, revealed the carpeting throughout common areas, hallways, and resident rooms showed significant instances of large stains. Further observation of the common areas of the facility revealed the handrails in the common hallways were observed to be discolored and rough to the touch in numerous areas. There were numerous instances of dead bugs noted in light fixtures throughout the facility including in resident dining areas. […]

• No harm, potential for more than minimal, patternF553May 2, 2024

  Based on medical record review, review of a care conference audit tool, resident and resident representative interview, staff interview, and review of a facility policy, the facility failed to conducted care conferences quarterly and with a significant change in condition as required. This affected five (#25, #32, #36, #62, and #64) of six residents reviewed for care planning meetings. The facility census was 86. Findings include: 1. Record review for Resident #32 revealed an admitted [DATE]. […]

• No harm, potential for more than minimal, patternF569May 2, 2024

  Based on review of banking records and staff interview, the facility failed to notify residents when their resident funds accounts were within $200.00 of the Medicaid resource limit as required. This affected four (#12, #60, #65, and #79) of five residents reviewed for personal funds. The facility census was 86. Findings include: 1. Review of the banking records for Resident #12 revealed a current balance of $6,595.42 and was over the Medicaid resource limit of $2,000.00 as of 02/12/24. Further review of the banking records for Resident #12 on 05/02/24 revealed no notification of spend down was provided to the resident as required. 2. […]

• No harm, potential for more than minimal, patternF641May 2, 2024

  Based on medical record review, resident and staff interview, and review of the Resident Assessment Instrument (RAI) manual, the facility failed to code resident Minimum Data Set (MDS) assessments accurately. This affected five (#53, #60, #78, #47, and #64) 18 sampled residents reviewed for accuracy of MDS assessments. The facility census was 86. Findings Include: 1. Review of the medical record revealed Resident #53 was admitted to the facility on [DATE] with diagnoses that included unspecified intellectual disabilities, seizures, and unspecified delirium. […]

• No harm, potential for more than minimal, patternF803Feb 10, 2022

  Based on observation, record review, policy review and staff interview, the facility failed to ensure proper portion sizes were served to residents that received pureed consistency meal items. This had the potential to affect 13 (#7, #11, #18, #20, #34, #38, #39, #40, #42, #43, #318, #319, and #320) of 13 residents, who were prescribed a pureed diet. The facility census was 74. Findings include: Observation of tray line on 02/09/22 from 4:30 P.M. through 5:14 P.M., revealed that Dietary Cook #266 served pureed battered fish with one number (#) 10 scoop instead of two #8 scoops, served mashed potatoes with one #12 scoop instead of one #8 scoop, and served pureed cabbage with one #16 scoop instead of one #8 scoop, as indicated on the spreadsheet. […]