Autumn Lake Healthcare at Perring Parkway

In the surveyor’s words

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

• Actual harm, isolatedF689Jun 22, 2026

  Based on medical record review, observation and interview, it was determined that the facility staff failed to identify and consistently evaluate the contributing factors to a resident fall and ensure appropriate interventions were implemented to prevent future occurrences. This was evident for 1 of 2 (#6) residents reviewed for falls and resulted in harm to Resident #6. The findings include: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. […]

• Actual harm, isolatedF684Dec 22, 2023

  Based on interviews, and medical record reviews it was determined that the facility staff failed to 1) ensure a resident received proper care to prevent the removal of a skin graft which led to the failure of the skin graft procedure and caused harm to Resident #94 by prolonging healing of the wound; 2) administer insulin before meals as ordered and failed to follow the hypoglycemia protocol as ordered which led to harm for Resident #91 when the low glucose incident required Resident #91 to be transferred to the hospital Intensive Care Unit for care; 3) provide wound care to a resident who had a surgical wound (Resident #84). This was evident for 3 of 45 residents selected for review during the survey. The findings include: 1. […]

• No harm, potential for more than minimal, patternF584Jun 22, 2026

  Based on observation and interview, it was determined that facility staff failed to maintain the facility in a homelike environment. This was evident for 3 of 3 observations of unit 1 and unit 2. The findings include: 1. On 6/16/26 at 7:05 AM the following observations were made on station 2 nursing unit: Inside room [ROOM NUMBER] there was a trashcan on the left that had a pair of discarded gloves lying beside the trashcan. There were pieces of food scattered in the hallway throughout the unit and beside the facility's sign in the lobby area near the elevator. […]

• No harm, potential for more than minimal, patternF584Dec 1, 2025

  Based on observation and interview it was determined the facility failed to ensure a homelike environment. This was evident for 2 of 2 facility floors of the building during the facility's recertification survey. The findings include: During surveyor initial tour of the facility, upon entering the facility's lobby area on 11/24/2025 at 7:30AM, and again at 7:48AM surveyors noted a malodorous smell was present. Carpeting present within 2 out of 2 of the facility's floors was observed to be in worn condition with areas of the carpet's pattern no longer visible as compared to smaller adjacent areas. Surveyors observed dark grey areas and staining and debris present within the carpeting material. […]

• No harm, potential for more than minimal, patternF656Dec 22, 2023

  Based on medical record review and staff interview it was determined the facility failed to develop, implement, and update a person-centered care plan for each resident to meet a resident's medical, nursing, and mental and psychosocial needs. This was evident for 4 residents (#32, #80, #76, #14) out of 15 residents reviewed during the survey. The findings include the following: 1) Review of Resident #32's medical record on 12/15/2023 at 2:00 PM revealed a revised care plan dated 11/08/2023 with a focus for Resident (#32) being at risk for changes related to resident's current psychological diagnoses. […]