Autumn Lake Healthcare at Glen Hill

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF812Jun 9, 2025

  Based on observations of kitchen, facility policy and interview, the facility failed to ensure food was served in safe and sanitary conditions. The findings include: An observation of the noon meal plating service in the kitchen on 6/6/25 at 11:40AM identified an open industrial garbage can with trash filled to the top; opened with no lid to cover the garbage can while food was being plated from the steam table. The garbage can was to the right of the steam table and 15 feet (ft.) away. The garbage can was opened by steam table for a half hour of the serving time of food from the steam table until 12:10PM. An interview with the Dietary Manager on 6/6/25 at 12:00PM identified the garbage can should have been covered and not in proximity to the steam table while food was being plated. […]

• No harm, potential for more than minimal, patternF584May 23, 2023

  Based on observation, review of facility documentation, facility policy, and interviews, the facility failed to maintain a home-like environment in the resident's dining room. The findings include: Observations on 5/21/23 at 7:00 AM identified the following in the resident's dining room: a multi-iPad charging station, 2 medication carts, and a resident weight scale. Interview with the DNS on 5/22/23 at 2:20 PM noted it is her expectation that the dining area is home like for the residents and the items should not be stored there. Although requested, a facility policy was not provided.

• No harm, potential for more than minimal, patternF726May 23, 2023

  Based on review of facility documentation, facility policy, and interviews, the facility failed to complete nursing competencies related to blood draws from a peripheral inserted central catheter (PICC). The findings include: Interview with the Staff Development Nurse (RN #2), on 5/22/23 at 11:20 AM identified that the facility performs blood draws from PICC lines, and she is responsible to conduct competencies for that function. Review of facility documentation identified that only 1 registered nurse, (RN #2) had been deemed competent to draw blood from a PICC line. […]

• No harm, potential for more than minimal, patternF803May 23, 2023

  Based on observation, review of facility documentation, facility policy and interview the facility failed to ensure that meals provided to the residents of the facility were based on the posted menu and failed to provide reasonable notification to the residents of any menu changes or substitutions. The findings include: Observation on 5/21/23 (Sunday) at 7:15 AM identified that the menus posted for residents in the unit common areas (Recovery, Nature Trail and Deerfield) did not correspond to the current day. The Recovery unit menus posted included Friday's breakfast specials, Saturday's lunch specials and Friday's dinner specials. On the Nature Trail and Deerfield units, the menus identified Friday's breakfast, lunch and dinner specials. […]

• No harm, potential for more than minimal, patternF809May 23, 2023

  Based on observation, review of facility policy and interview for 8 residents (Residents #1, 6, 14, 22, 24, 48, 56 and 57) reviewed as part of the resident council task, the facility failed to consistently have available and offer an evening snack to all residents. The findings include: Interview with Residents #1, 6, 14, 22, 24, 48, 56 and 57 on 5/22/23 at 11:00 AM identified that evening snacks were not offered to residents. Resident #56 indicated an evening snack would be given upon request. […]