Autumn Lake Healthcare at Ruxton

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF925Aug 24, 2026

  Based on review of complaints 3135540 and 3032214, interviews, observations, and documentation review, it was determined that the facility failed to have an effective pest control program related to issues with mice. This was evident on all nursing units, in resident rooms, resident care areas, staff areas, and throughout the facility.The findings include: On 8/20/26 at 8:01 AM a review of complaints 3135540 and 3032214 was conducted and it was alleged that the facility was infested with mice. The complaint alleged that mice were climbing up the privacy curtains, on top of the resident's food trays, on the beds, and all over the facility. […]

• No harm, potential for more than minimal, widespreadF925Sep 18, 2024

  Based on review of a complaint, interviews, and documentation review, it was determined the facility failed to have an effective pest control program as evidenced by numerous reports and observation of mice throughout the facility. This had the potential to affect all residents in the facility. The findings include: On 9/13/24 at 11:15 AM a review of complaint MD00209294 alleged that there was an infestation of mice running throughout the facility, and even getting up on some of the patient's beds. I know for sure that the third-floor manager is aware and that admissions is aware. […]

• No harm, potential for more than minimal, widespreadF882Jan 24, 2022

  Based on interview with facility staff, it was determined that the facility failed to staff an infection preventionists with responsibility for the facility's Infection Prevention and Control Program (IPCP). This practice has the potential to affect all residents. The findings include: A line listing is an infection prevention tool used to track and analyze infections and outbreaks in the facility. It is a professional standard of infection prevention and a cornerstone of an infection preventionist ' s data gathering role. The surveyor conducted the entrance conference with the the Administrator and Director of Nursing (DON) on 1/11/22 at 8:35 AM. During the interview, the Administrator and DON indicated that Registered Nurse (RN) #3 was the facility's Infection Preventionist (IP). […]

• No harm, potential for more than minimal, widespreadF885Jan 24, 2022

  Based on review of facility documentation and interview with residents and facility staff, it was determined that the facility failed to develop a mechanism to inform all residents of newly confirmed infections of COVID-19 among staff and residents. It was also determined that the facility failed to follow their mechanism of informing families and representatives of newly confirmed COVID-19 infections. This practice had the potential to affect all residents and their families. The findings include: During the entrance conference that took place on 1/11/22 at 8:30 AM, the Administrator informed the survey team that five staff were currently out sick because of positive COVID-19 tests. […]

• No harm, potential for more than minimal, patternF814May 11, 2026

  Based on observations and interviews it was determined that the facility staff failed to dispose of furniture and refuse in a sealed container. This was evident in 1 of 1 refuse disposal areas observed during the complaint survey.The findings include:On 05/07/26 at 8:33 am the surveyor observed an orange dumpster with the lid and sliding side door opened with a large white garbage bag hanging over the side. The surveyor also observed other items on the ground near the dumpsters:-six plus wooden pallets-a blue mattress-large white garbage bag of waste on the grass-three boxes in front of a brown shed-eight tall wooden cabinetsOn 05/07/26 at 9:07 am the surveyor and Administrator #1 viewed the area around the dumpster. […]