Facility profile · CCN 345511
Autumn Care Of Statesville
18 federal citations on record .
Record summary
Federal record · Q1 202618
Total citations
6
Last 3 years
2
Actual harm+
0
Federal penalties
$0
Total fines
3
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
18 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Apr 16, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Apr 16, 2025 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard |
| Apr 16, 2025 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Feb 8, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Feb 8, 2024 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard |
| Feb 8, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Aug 25, 2022 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard |
| Aug 25, 2022 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Aug 25, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Aug 25, 2022 | F790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard |
| Aug 25, 2022 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard |
| Aug 25, 2022 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Aug 25, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard |
| Aug 25, 2022 | F688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard |
| Aug 25, 2022 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| Aug 25, 2022 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Aug 25, 2022 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard |
| Aug 25, 2022 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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