Autumn Care of Portsmouth

In the surveyor’s words

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

• Actual harm, isolatedF686Apr 15, 2022

  Based on staff interviews, clinical record review, and review of facility documents, the facility staff failed to ensure one resident (Resident #38) entering the facility did not develop pressure ulcers unless they were unavoidable. For Resident #38, the facility failed to identify two pressure ulcers prior to being found at an advanced stage (unstageable), which constituted in harm. For Resident #58, the facility staff failed to provide care and services to prevent pressure ulcer development and to identify a left heel pressure ulcer prior to progression to an advanced stage (stage 3) which constituted harm. […]

• No harm, potential for more than minimal, patternF561Feb 27, 2026

  Based on interviews, observations, facility document review, and policy review, the facility failed to honor the food choices for 11 of 98 facility residents (Resident (R) R5, R15, R94, R93, R103, R120, R84, R63, R49, R8, and R22). This failure had the potential to lead to dissatisfaction with meals, malnutrition or weight loss, or feelings of helplessness among resident whose preferences were not honored.Findings include:1. Review of R5's Face Sheet located under the Face Sheet tab of the electronic medical record (EMR) revealed he was admitted to the facility on [DATE] with diagnoses including diabetes, anemia, and malnutrition. […]

• No harm, potential for more than minimal, patternF600Feb 27, 2026

  Based on interviews, record review and facility policy review, the facility failed to implement their abuse policy, and protect three out of 38 sampled residents, (Resident (R123) R112 and R111) from a resident-to-resident encounter. Encounters involved R123 & R122; R112 and R26, and R111 and R121. R123 expressed fear to staff and did not feel safe after R122 threatened R123 with physical violence. This resulted in the potential for mental harm for R123 and had the potential to affect other residents. Findings include: 1. Review of R122's quarterly Minimum Data Set (MDS) with an assessment reference date (ARD) of 05/21/25 revealed a Brief Interview for Mental Status (BIMS) score of 15 out of 15 which indicated no cognitive impairment. […]

• No harm, potential for more than minimal, patternF609Feb 27, 2026

  Based on record review, interview, and policy review, the facility failed to ensure allegations of resident-to-resident abuse involving four of six residents (Resident (R) 111, R121, R122, and R123) reviewed for abuse were reported to the State Agency (SA) within required time frames. The failure had the potential to allow potential abuse without recognition or regulatory follow-up to prevent recurrence.Findings include: 1. Review of R111's Face Sheet, located under the Face Sheet tab of the electronic medical record (EMR) revealed he was admitted to the facility on [DATE] with diagnoses including post-traumatic stress disorder, depression, and muscle weakness. […]

• No harm, potential for more than minimal, patternF803Feb 27, 2026

  Based on observations, facility document review, and policy review, the facility failed to ensure staff followed the menus for mechanical soft and puree diets for 14 residents who received these diet textures (five residents on puree diets and nine residents on mechanical soft diets) out of a census of 98. This failure placed those residents at risk of malnutrition, weight loss, or dissatisfaction with meals.Findings include:Review of an untitled, undated handwritten document, provided on paper by the Director of Nursing (DON), revealed the facility had nine residents who received a mechanical soft diet and five residents who received a puree diet.Review of the facility's Diet Guide Sheet for lunch on 02/27/26, provided on paper by the Dietary Regional Manager (DRM), revealed the regular… […]