Autumn Care of Cornelius

In the surveyor’s words

From the most serious findings on record at Autumn Care of Cornelius, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Jan 20, 2021

  Based on record review, and interviews with staff, family, physician and nurse practitioner (NP), the facility failed to protect 1 of 3 sampled residents, Resident #1 from a significant injury of unknown origin. Resident #1 was evaluated in the emergency room (ER) after complaints of a fall in the facility. In the ER, Resident #1 was identified with acute fractures sustained of the distal end of her right femoral metaphyseal (thigh) and an impaction [MEDICAL CONDITION] end of her left tibia (knee). Resident #1 required intravenous (IV) opioid [MEDICATION NAME] for pain management. The findings included: Resident #1 was admitted to the facility [DATE]. [DIAGNOSES REDACTED]. A quarterly Minimum Data Set (MDS) assessment, dated [DATE] assessed Resident #1 with moderate cognitive impairment. […]

• Actual harm, isolatedF684Mar 13, 2023

  Based on record review, staff, Nurse Practitioner, and Medical Director interview the facility failed to complete a thorough assessment after Resident #1 had an unwitnessed fall on 02/23/23 and landed on her right side before being transferred off the floor for 1 of 3 residents reviewed for falls. Resident #1 displayed or voiced no complaints of pain but was unable to bear weight on 02/24/23. An x-ray was ordered which showed an acute right intertrochanteric (type of hip fracture) fracture and Resident #1 was transported to the emergency room for evaluation and treatment on 02/25/23. The Findings included: Resident #1 was admitted to the facility on [DATE] with diagnoses that included fracture of left femur (thigh bone) and dementia. […]

• Actual harm, isolatedF689Jun 4, 2021

  Based on observations, record reviews, and staff interviews, the facility failed to identify the root causes, monitor, and implement effective interventions to a keep a wandering resident free from injury when a wandering resident sustained multiple skin tears, bruises, and had multiple falls of which one resulted in a right [CONDITION(S)] for 1 of 2 residents reviewed for accidents (Resident #43). The facility also failed to keep Resident #43 from wandering into 2 other resident's rooms and going through their personal belongings and touching them for 2 of 2 residents reviewed for privacy (Resident #21 and Resident #79). […]

• Actual harm, isolatedF697Jun 4, 2021

  Based on observations, record review, resident, staff, and Nurse Practitioner interview the facility failed to administer pain medication when requested by the resident (Resident #1) for 1 of 4 residents reviewed for pain. Resident #1 experienced a right clavicle fracture and requested pain medication and subsequently waited over 2 hours for her pain medication for pain she rated on a pain scale of 7 out of 10 and described as miserable. The findings included: Resident #1 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of an admission assessment dated [DATE] stated that Resident #1 was alert and oriented times 3 (person, place, and time). […]

• No harm, potential for more than minimal, patternF812Aug 28, 2026

  Based on observations and staff interviews, the facility failed to maintain hot food at or above 135 degrees ( ) Fahrenheit (F) during meal service on 1 of 4 steam tables (700/800 hall kitchenette), failed to remove dented canned goods stored for use in the dry goods storage room, failed to date and label leftover food items stored in 1 of 1 walk-in cooler and 1 of 1 walk-in freezer and failed to ensure frozen food items were sealed in the walk-in freezer. This practice had the potential to affect food served to residents. Findings included: 1. On 08/26/2026 at 11:45 AM, food items were prepared in the main kitchen and just prior to meal service, Dietary [NAME] #1 used a thermometer to check the temperature and all food items were above 165 degrees F. […]