Inspection visit
Inspection
Citations
14 citations recorded*CMS
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0371GeneralS&S Dpotential for harm
Store, cook, and serve food in a safe and clean way.
- 0431GeneralS&S Dpotential for harm
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
- 0514GeneralS&S Dpotential for harm
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
- 0271GeneralS&S Epotential for harm
Have exits that are accessible at all times.
- 0321GeneralS&S Dpotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0353GeneralS&S Dpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0363GeneralS&S Dpotential for harm
Install corridor and hallway doors that block smoke.
- 0372GeneralS&S Dpotential for harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
F712 - Frequency of physician visits
Have simulated fire drills held at unexpected times.
F911 - Accommodate no more than four residents
Meet requirements for the installation and maintenance of electrical systems.
F918 - Bathroom Facilities
Have generator or other power source capable of supplying service within 10 seconds.
- 0166GeneralS&S Dpotential for harm
Try to resolve each resident's complaints quickly.
- 0274GeneralS&S Dpotential for harm
Review or revise the resident's care plan after any major change in physical or mental health.
- 0315GeneralS&S Dpotential for harm
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
FAQ · About this visit
Common questions about this visit
What happened during the July 13, 2017 survey of AUTUMN LAKE HEALTHCARE AT SPA CREEK?
This was a inspection survey of AUTUMN LAKE HEALTHCARE AT SPA CREEK on July 13, 2017. The surveyor cited 14 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at AUTUMN LAKE HEALTHCARE AT SPA CREEK on July 13, 2017?
Yes, 14 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Store, cook, and serve food in a safe and clean way."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.
Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.
Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.