Autumn Lake Healthcare at West Hartford

In the surveyor’s words

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

• Immediate jeopardy, isolatedF678Sep 14, 2023

  Based on clinical record review, facility documentation, emergency medical technician report, facility policy, and interviews, for one (1) resident, (Resident #1), the facility failed to provide Cardio-Pulmonary Resuscitation (CPR) in accordance with the resident's request and physician's order for full code (resuscitation procedures will be provided including but not limited to CPR) resulting in a finding of Immediate Jeopardy. The finding includes: Resident #1's diagnoses included hypertension and Chronic Obstructive Pulmonary Disease (COPD). The admission Minimum Data Set (MDS) dated [DATE] identified Resident #1 was cognitively intact, and received oxygen daily. […]

• No harm, potential for more than minimal, widespreadF761May 11, 2026

  Based on clinical record review, observations, interviews, and facility documentation, the facility failed to ensure discontinued Schedule II through V controlled substances brought into the facility from an outside pharmacy and stored in bubble packs and bottles were secured in a permanently affixed, separately locked compartment as required. The findings include:Interview with the Director of Nursing Services (DNS) on 5/6/26 at 12:28 PM identified discontinued controlled substances were stored in a locked file cabinet located inside the DNS office until they were destroyed. The DNS identified the office door acted as the second lock for the controlled substances stored in the cabinet.An observation on 5/6/26 at 12:37 PM identified the DNS office door was wide open with no staff present. […]

• No harm, potential for more than minimal, widespreadF921Jun 6, 2025

  Based on observations, interviews, and facility documentation, the facility failed to provide residents with a comfortable environment. The findings include: Facility tour and observations on 6/6/2025 at 8:31 AM identified the first-floor dining room temperature was 81 degrees Fahrenheit (F) with a stand-alone window vented air conditioner in use. Further observations of the upper/second floor resident wall mounted digital thermometers identified the following room temperatures: 8:32 AM: room [ROOM NUMBER] was 82.9 degrees F, no air conditioning unit 8:38 AM: room [ROOM NUMBER] was 87 degrees F, no air conditioning unit 8:39 AM: room [ROOM NUMBER] was 89 degrees F, no air conditioning unit 8:47 AM: room [ROOM NUMBER] was 84 degrees F with a stand-alone floor air conditioning unit that… […]

• No harm, potential for more than minimal, patternF584Jun 6, 2025

  Based on observations, interviews, and facility documentation, the facility failed to provide residents with a comfortable homelike environment. The findings include: Facility tour and observations on 6/6/2025 at 8:31 AM identified the first-floor dining room temperature was 81 degrees Fahrenheit (F) with a stand-alone window vented air conditioner in use. Further observations of the upper/second floor resident wall mounted digital thermometers identified the following room temperatures: 8:32 AM: room [ROOM NUMBER] was 82.9 degrees F, no air conditioning unit 8:38 AM: room [ROOM NUMBER] was 87 degrees F, no air conditioning unit 8:39 AM: room [ROOM NUMBER] was 89 degrees F, no air conditioning unit 8:47 AM: room [ROOM NUMBER] was 84 degrees F with a stand-alone floor air conditioning unit… […]

• No harm, potential for more than minimal, patternF656Feb 6, 2024

  Based on clinical record reviews, observations, review of facility policy and staff interviews for 3 of 5 residents reviewed for care planning for (Resident # 31), the facility failed to develop a person-centered care plan for the resident medication and for( Resident # 41), the facility failed to develop a comprehensive care plan regarding the resident's respiratory treatment and discharge needs and for( Resident # 66), the facility failed to develop a discharge care plan to address the residents needs post discharge. The findings included: 1. Resident #31's diagnoses included atrial fibrillation and Arteriosclerotic Heart Disease. The care plan dated 7/25/2023 indicated Resident #31 exhibited or was at risk for gastrointestinal symptoms or complications related to constipation. […]