Autumn Lake Healthcare at Long View

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF636Apr 22, 2024

  Based on record review and interviews, it was determined that the facility failed to complete Quarterly Minimum Data Set (MDS) assessments for residents within the regulatory time frames to facilitate appropriate care planning and maintain the current assessment record. This was evident for 4 (#70, #52, #83, #85) of 68 residents reviewed during the recertification survey. The findings include: The MDS is a federally mandated assessment tool that nursing home staff use to gather information on each resident's strengths and needs. The information collected drives resident care planning decisions. The Quarterly assessment must be completed within 92 days of the MDS Completion Date of the last quarterly MDS assessment. […]

• No harm, potential for more than minimal, patternF656Apr 22, 2024

  Based on medical record review and staff interview it was determined that facility staff failed to develop and implement comprehensive, person-centered care plans, with measurable goals and non-pharmacological approaches. This was evident for 2 (#4, #64) of 6 residents reviewed for unnecessary medications. The findings include: A care plan is a guide that addresses the unique needs of each resident. It is used to plan, assess, and evaluate the effectiveness of the resident's care. The MDS (Minimum Data Set) is a complete assessment of the resident which provides the facility information necessary to develop a plan of care, provide the appropriate care and services to the resident, and to modify the care plan based on the resident's status. […]

• No harm, potential for more than minimal, patternF657Apr 22, 2024

  Based on resident and staff interviews and medical records review it was determined the facility 1) failed to include residents in the development of the care plan and invite to the care plan meeting, 2) failed to ensure participation in the care planning process by required interdisciplinary team members, and 3) failed to evaluate and update a care plan. This was evident for 3 (Resident #43, #1, #46) of 5 residents reviewed for care planning, and 2 (Resident #4, #64) of 6 residents reviewed for unnecessary medications. The findings include: 1) Resident #43 has been residing in a private room at the facility since admission in late 2023. On 4/9/24 at 11:33 AM, Resident #43 was interviewed and reported that s/he had not participated in a care plan meeting. […]

• No harm, potential for more than minimal, isolatedF584Dec 1, 2025

  Based on observation and interview with staff it was determined the facility failed to provide maintenance services necessary to maintain a sanitary and orderly interior. This was evident in 1 of 3 nourishment rooms observed during the recertification/complaint survey.The findings include:The nourishment room located on the locked memory care unit was observed on 12/1/25 at 11:42 AM. A circular hole, approximately 4-5 inches in diameter, was observed in the wallboard below the countertop.The Administrator was made aware and confirmed this finding on 12/1/25 at 2:29 PM. She indicated that the hole was the result of a plumbing pipe being removed.

• No harm, potential for more than minimal, isolatedF645Dec 1, 2025

  Based on medical record review and interview with staff it was determined the facility staff failed to ensure that each resident had an accurately completed Level 1 PASARR screening prior to admission. This was evident for 1 (Resident #8) of 3 residents reviewed for PASARR during the recertification/complaint survey.The findings include:The Preadmission Screening and Resident Review (PASARR) is a federal requirement to help ensure that individuals are not inappropriately placed in nursing homes for long term care. […]