Autumn Hills Health Care Center

In the surveyor’s words

From the most serious findings on record at Autumn Hills Health Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Apr 5, 2025

  Based on interview, and record review the facility failed to ensure one of three sampled Residents (Resident 1) who had diagnosis of Non- ST (represents the interval between ventricular depolarization [blood flow into the left ventricle[[one of two large chambers located toward the bottom of the heart]]and repolarization [resting state of the heart]) segment elevation myocardial infarction (NSTEMI, a type of heart attack where a coronary artery is partially blocked, causing reduced blood flow to the heart and resulting in some heart muscle damage) received treatment and services in accordance with professional standards of practice, care plan and the physician's order for the management of the resident's chest pain. The facility failed to: 1. […]

• Actual harm, isolatedF684Feb 12, 2026

  Based on interviews and record reviews, the facility failed to provide treatment and services in accordance with professional standards of practice (guidelines and expectations that define competent and ethical conduct within specific profession) for one of three sampled residents (Resident 1) who had a diagnosis of Type 2 Diabetes Mellitus ([DM] when a hormone called insulin does not work properly or there is not enough of it. This causes the level of glucose [sugar] in the blood to become too high) by failing to: 1.Ensre that its licensed nursing staff reviewed Resident 1's medical history of Type 2 Diabetes Mellitus (DM) and diabetes management prior to the readmission from the GACH on 1/11/2026. […]

• No harm, potential for more than minimal, widespreadF814Jun 26, 2026

  Based on observation, interviews, and record reviews, the facility failed to ensure the trash bins were properly covered and in sanitary receptacles in accordance with the facility's policy and procedure titled, Sanitation and Infection Control: Waste Control and Disposal. The facility failed to ensure: 1. There was no large puddle of green, foul-smelling water pooled underneath the dumpsters and in the dumpster area on 6/23/26. 2. One of two large dumpster bins was not overflowing with trash with the lid unable to close on 6/23/26. 3. The facility staff did not dispose of an empty box carton onto the large puddle of green, foul-smelling water on the ground of the dumpster area then walked away on 6/23/26. 4. A bag of trash was not left on the ground in the dumpster area on 6/26/26. […]

• No harm, potential for more than minimal, widespreadF908Jun 26, 2026

  Based on observation, interview, and record review, the facility failed to maintain essential mechanical equipment in safe operating condition in accordance with the facility's policy and procedures titled Fire System Maintenance and Sanitation and Infection Control: Dishwashing Procedures (Dish machine). 1. The facility's dishwashing machine's thermometer was not reading accurately for an unknown amount of time between 6/16/26 to 6/23/26. This deficient practice had the potential to expose residents to foodborne illnesses (any sickness caused by eating or drinking foods contaminated with harmful germs [like bacteria or viruses] or toxic chemicals) due to improperly sanitized dishware. 2. The facility's sprinkler system had a leak for weeks and was not repaired until 6/24/26. […]

• No harm, potential for more than minimal, widespreadF921Jun 26, 2026

  Based on observation, interview, and record review, the facility failed to provide a sanitary environment for 86 of 86 residents, the facility's staff, and the public when water from the facility's roof leaked into a large puddle of green, foul-smelling water in the dumpster area on 6/23/26. This failure created unsanitary conditions and increased the risk of pests, odors, and potential health hazards in an area accessible to staff and visitors. Findings: During an interview and concurrent observation with the Maintenance Supervisor (MS) on 6/23/26 at 11:57 AM, the facility's dumpster area was observed with water leaking from the roof and dripping into a large puddle of green, foul-smelling water that pooled underneath the dumpsters. […]