Autumn Lake Healthcare at New Britain

In the surveyor’s words

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

• Immediate jeopardy, patternF689Apr 24, 2026

  Based on interviews, observations, clinical record review, facility documentation, and facility policy, the facility failed to maintain a safe environment for residents in two distinct areas, resulting in the findings of Immediate Jeopardy. The facility failed to conduct adequate monitoring of hot water temperatures and to communicate and act upon documented temperatures exceeding 120 F, resulting in water temperatures ranging from 126.3 F to 145.4 F in 44 of 64 resident rooms on the second and third floors. This failure exposed residents to a risk of scalding from excessive water temperatures. […]

• No harm, potential for more than minimal, patternF580May 10, 2024

  Based on clinical record review, facility policy review, and interviews for one of four sampled residents (Resident #87) reviewed for nutrition, the facility failed to notify the physician and resident representative regarding a significant weight loss. The findings include: Resident #87's diagnoses included type 2 diabetes mellitus, hypertension, anxiety, vascular dementia, and paranoid schizophrenia. The quarterly MDS assessment dated [DATE] identified Resident #87 had severe cognitive impairment, required set up assistance for eating, was non-ambulatory, had a height of 67 inches, a weight of 174 pounds, and did not have weight loss in the past six months. […]

• No harm, potential for more than minimal, patternF656May 10, 2024

  Based on review of the clinical record, review of facility documentation, review of facility policy and interviews for two sampled residents (Resident #81 and #160) receiving anticoagulant medication, the facility failed to ensure the care plan included interventions to address the possible side effects and the monitoring that should accompany the use of an anticoagulant. The findings include: 1. Resident #81's diagnoses included acute embolism and thrombosis (disruption of the blood flow in veins and arteries), fractured left femur, and chronic diastolic congestive heart failure. […]

• No harm, potential for more than minimal, patternF692May 10, 2024

  Based on clinical record review, facility policy review, and interviews for one of four sampled residents (Resident #87) reviewed for nutrition, the facility failed to ensure the dietician assessed the resident for weight loss timely and failed to obtain the resident's monthly weight in accordance to facility policy. The findings include: Resident #87 's diagnoses included type 2 diabetes mellitus, hypertension, anxiety, vascular dementia, and paranoid schizophrenia. Review of Resident #87's weight records identified a weight of 174.2 pounds on 7/9/23, further review identified no documented weights from August 2023 through December 2023. […]

• No harm, potential for more than minimal, patternF689Jan 28, 2021

  Based on observation, review of facility policy and interviews for 3 of 12 Housekeeping carts within the facility, the facility failed to secure hazardous chemicals. The findings include: 1. On 1/28/21 at 9:45 AM, an observation identified an unattended Housekeeping cart was located in the hallway between two resident rooms on Station 1 North. The storage compartment of the Housekeeping cart was unlocked and Housekeeper #1 was observed in one of the rooms, cleaning at that time. […]