Autumn Lake Healthcare at Crofton

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Sep 25, 2025

  Based on observations and staff interviews, it was determined that the facility failed to ensure a proper sanitary environment in a food and equipment preparation/storage area. This was identified during multiple observations of the kitchen during the annual survey. This deficient practice has the potential to affect all residents.The findings include:Initial tour of the facility kitchen on 9/18/2025 at 8:25 AM revealed multiple areas of black substances located on the wall above the kitchen's coffee and tea maker, as well as on the ceiling panels above. The coffee and tea maker were located on a table to the left of the kitchen's ice machine. Mugs with plastic lids were observed being stored on top of the ice machine. […]

• No harm, potential for more than minimal, widespreadF880Sep 25, 2025

  Based on observation and staff interviews, it was determined that the facility failed to maintain appropriate infection control practices. This was evident during observations of the laundry area during the facility's recertification survey. The findings include:On 09/24/2025 at 7:42 AM, during a tour of the laundry room, the surveyor observed a door with signage stating, Keep Door Closed and Do Not Prop Doors Open. The door was observed propped open.On 09/24/2025 at 7:43 AM, in an interview with the Housekeeping Supervisor (Staff #15), when asked about the biohazard room, she stated that it contained biohazard waste in a red hazard bin. […]

• No harm, potential for more than minimal, isolatedF550Sep 25, 2025

  Based on observations and interviews, it was determined that the facility 1.) failed to ensure that resident rights are maintained by knocking prior to entering a resident's room and 2.) failed to protect the resident's dignity by not ensuring urine bags were covered. This was evident for 1 (Resident #69 and Resident #102) out of 4 resident's reviewed during the annual survey . The findings include: 1.) On 09/18/2025 at 1:25 PM, during an interview with Resident #69, Geriatric Nursing Assistant (Staff #10) walked into Resident #69's room, but failed to knock on the door prior to entering the room. On 09/18/2025 at 1:49 PM, an interview with Staff #10 revealed that the expectation was to knock and wait for the resident's response. […]

• No harm, potential for more than minimal, isolatedF578Sep 25, 2025

  Based on medical record reviews and staff interviews, it was determined that the facility failed to ensure a copy of 1.) a resident's medical power of attorney (POA) and 2.) a copy of a resident's advance directive was in the resident's medical records. This deficient practice was evident for 2 (Resident #25 and Resident #40) out of 3 residents reviewed for advanced directives during the annual survey.Advance Directive (AD) is a written instruction, such as a living will or durable power of attorney (POA) for health care, recognized under State law (whether statutory or as recognized by the courts of the State), relating to the provision of health care when the individual is incapacitated.The findings include: 1.) On 09/18/2025 at 11:52 AM, a review of Resident #25's medical record… […]

• No harm, potential for more than minimal, isolatedF583Sep 25, 2025

  Based on observation and interviews, it was determined that the facility failed to ensure resident medical records were maintained secure and confidential. This was evident during 1 of several observations of the 400 hallway during the annual survey.The findings include:On 09/18/2025 at 2:01 PM, an observation on the 400 hallway (where residents, staff, and visitors walk through) revealed an unattended medication cart with a laptop on top of it. The laptop screen was on, open, and slightly pointed downward (facing the public hallway), but failed to reveal that the computer was locked or turned off, to maintain security and confidentiality of the residents medical records. […]