Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 215001

Autumn Lake Healthcare At Ballenger Creek

63 federal citations on record , including 1 at the Immediate Jeopardy level.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
63
Total citations
29
Last 3 years
2
Actual harm+
0
Federal penalties
$0
Total fines
2
Overall ★ rating

Most common violation categories here

Care Planning15 Quality of Care13 Resident Rights9 Medication & Pharmacy8 Abuse & Neglect7

Most common F-tags at this facility

F5853 F6103 F6413 F6563 F6573

Citation history

63 on record
SurveyF-TagViolationSeveritySource
Nov 20, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Nov 20, 2025F610Respond appropriately to all alleged violations.DComplaint
Nov 20, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Nov 20, 2025F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DComplaint
Jun 30, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jun 30, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Jun 30, 2025F610Respond appropriately to all alleged violations.EComplaint
Jun 30, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jun 30, 2025F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.FStandard
Jun 30, 2025F880Provide and implement an infection prevention and control program.EStandard
Jun 30, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Jun 30, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jun 30, 2025F760Ensure that residents are free from significant medication errors.EStandard
Jun 30, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Jun 30, 2025F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard
Jun 30, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Jun 30, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jun 30, 2025F679Provide activities to meet all resident's needs.EStandard
Jun 30, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jun 30, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Jun 30, 2025F641Ensure each resident receives an accurate assessment.EStandard
Jun 30, 2025F637Assess the resident when there is a significant change in conditionEStandard
Jun 30, 2025F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
Jun 30, 2025F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DStandard
Jun 30, 2025F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DStandard
Jun 30, 2025F578Honor 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.DStandard
Jun 30, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Jun 30, 2025F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard
Jun 30, 2025F908Keep all essential equipment working safely.DComplaint
Nov 15, 2022F880Provide and implement an infection prevention and control program.DStandard
Nov 15, 2022F865Have a plan that describes the process for conducting QAPI and QAA activities.DStandard
Nov 15, 2022F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Nov 15, 2022F760Ensure that residents are free from significant medication errors.JStandard
Nov 15, 2022F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Nov 15, 2022F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Nov 15, 2022F732Post nurse staffing information every day.CStandard
Nov 15, 2022F730Observe each nurse aide's job performance and give regular training.FStandard
Nov 15, 2022F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DStandard
Nov 15, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard
Nov 15, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Nov 15, 2022F680Ensure the activities program is directed by a qualified professional.DStandard
Nov 15, 2022F679Provide activities to meet all resident's needs.EStandard
Nov 15, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Nov 15, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Nov 15, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Nov 15, 2022F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Nov 15, 2022F641Ensure each resident receives an accurate assessment.DStandard
Nov 15, 2022F610Respond appropriately to all alleged violations.DStandard
Nov 15, 2022F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.FStandard
Nov 15, 2022F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard
Nov 15, 2022F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DStandard
Nov 15, 2022F578Honor 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.DStandard
Nov 15, 2022F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.BStandard
Nov 19, 2018F880Provide and implement an infection prevention and control program.DStandard
Nov 19, 2018F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard
Nov 19, 2018F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Nov 19, 2018F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard
Nov 19, 2018F757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard
Nov 19, 2018F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Nov 19, 2018F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Nov 19, 2018F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Nov 19, 2018F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Nov 19, 2018F641Ensure each resident receives an accurate assessment.DStandard
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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