Autumn Lake Healthcare at Arcola

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Dec 19, 2025

  Based on observations, interviews, and record review, it was determined that the facility failed to ensure potentially hazardous food items were cooled according to acceptable standards. These findings have the potential to affect all residents of the facility.The findings include: During the initial tour of the kitchen on 12/8/25 at 9:55 AM, an inspection of the stand-up refrigerator was conducted with dietary manager (Staff #20). Cooked food items were observed and dated in the refrigerator. The items were:a) Mac and cheese dated 12/6b) Turkey dated 12/7c) noodles dated 12/6 d) ground beef dated 12/7e) rice dated 12/7Staff #20 indicated that the food items were leftovers. […]

• No harm, potential for more than minimal, widespreadF880Dec 19, 2025

  Based on observations, and interviews, it was determined that the facility failed to ensure separation between the clean and soiled area of the laundry room was maintained to prevent cross contamination. This deficient practice has the potential to affect all residents of the facility.The findings include: During the initial tour of the laundry room on 12/8/25 at 9:29 AM, a laundry aide (Staff #9) explained how she and other laundry aides process linens. Staff #9 also demonstrated how she processes dirty linens while 2 other laundry aides were in the clean side of the laundry room folding clean linens. During this time, it was observed that the laundry room was equipped with vinyl drapes that separated the dirty side from the clean side of the laundry room, acting as a doorway. […]

• No harm, potential for more than minimal, patternF578Dec 19, 2025

  Based on observation, record review and staff interviews it was determined that the facility failed to: 1) provide information to residents to formulate advanced directives, 2) identify a responsible party for an incapacitated resident, 3) document Advance Directive discussions in the medical record, and 4) ensure procedures for medical orders for life-sustaining treatment (MOLST). This was evident for 3 (Resident #67, Resident #6, #8) out of 4 residents reviewed for Advance Directives during the annual survey.The findings include: 1) Resident #67 was admitted into the facility in late 2025. […]

• No harm, potential for more than minimal, patternF686Dec 19, 2025

  Based on observations, record reviews and interviews, it was determined that the facility failed to ensure residents at risk for developing pressure injuries received appropriate services for treatment and prevention. This was evident for 5 (Resident #23, #25, #15, #8, and #2) of 7 residents reviewed for pressure injuries. The findings include: During the initial pool phase, the following observations were made: a) On 12/8/25 at 12:53 PM, Resident #23 was observed sleeping in bed, equipped with an air mattress. The control box for the mattress was located at the foot of the bed and was observed to be set at max weight of 350 lbs.b) On 12/9/25 at 11:20 AM, Resident #25 was observed sleeping in bed, equipped with an air mattress. […]

• No harm, potential for more than minimal, patternF657Jul 2, 2024

  Based on interviews and medical record review it was determined that the facility failed to: 1) revise a Resident's care plan and 2) provide an invitation and/or invite a resident for a care plan meeting . This was evident in 4 Residents (#65, #36 #143, & #57) and 2 Residents (#63 and #38) out of 10 residents reviewed for care planning. The findings include: 1a) On 6/13/24 at 12:40 PM a review of Resident's #65 medical record revealed that the resident was admitted to the facility on [DATE] with multiple diagnoses which included Dementia, ETOH (alcohol) abuse and Hypertension (high blood pressure). On 4/16/24 Resident #65 sustained a fall and was hospitalized for Hip Fracture. […]