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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 215136

Autumn Lake Healthcare At Birch Manor

85 federal citations on record .

Record summary

Federal record · Q1 2026
85
Total citations
25
Last 3 years
0
Actual harm+
0
Federal penalties
$0
Total fines
3
Overall ★ rating

Most common violation categories here

Resident Rights24 Quality of Care16 Care Planning15 Medication & Pharmacy6 Environment & Safety5

Most common F-tags at this facility

F5844 F6563 F6843 F8423 F6093

Citation history

85 on record
SurveyF-TagViolationSeveritySource
Nov 20, 2025F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DComplaint
Jun 11, 2025F679Provide activities to meet all resident's needs.EComplaint
Jun 11, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.FComplaint
Jun 11, 2025F610Respond appropriately to all alleged violations.DComplaint
Jun 11, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jun 11, 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 11, 2025F906Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers.DStandard
Jun 11, 2025F880Provide and implement an infection prevention and control program.EStandard
Jun 11, 2025F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDStandard
Jun 11, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard
Jun 11, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Jun 11, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Jun 11, 2025F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DStandard
Jun 11, 2025F791Provide or obtain dental services for each resident.DStandard
Jun 11, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jun 11, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jun 11, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jun 11, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Jun 11, 2025F641Ensure each resident receives an accurate assessment.DStandard
Jun 11, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard
Jun 11, 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 11, 2025F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.DStandard
Jun 11, 2025F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard
Nov 4, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Nov 4, 2024F584Honor 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.EComplaint
Jun 9, 2021F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DStandard
Jun 9, 2021F923Have enough outside ventilation via a window or mechanical ventilation, or both.DStandard
Jun 9, 2021F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Jun 9, 2021F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.DStandard
Jun 9, 2021F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Jun 9, 2021F761Ensure 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
Jun 9, 2021F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Jun 9, 2021F692Provide enough food/fluids to maintain a resident's health.DStandard
Jun 9, 2021F688Provide 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.DStandard
Jun 9, 2021F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jun 9, 2021F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Jun 9, 2021F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Jun 9, 2021F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jun 9, 2021F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard
Jun 9, 2021F624Prepare residents for a safe transfer or discharge from the nursing home.DStandard
Jun 9, 2021F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Jun 9, 2021F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard
Jun 9, 2021F584Honor 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 9, 2021F583Keep residents' personal and medical records private and confidential.DStandard
Jun 9, 2021F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Jun 9, 2021F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Jun 9, 2021F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Aug 3, 2018F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
Aug 3, 2018F908Keep all essential equipment working safely.FStandard
Aug 3, 2018F881Implement a program that monitors antibiotic use.EStandard
Aug 3, 2018F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyEStandard
Aug 3, 2018F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.FStandard
Aug 3, 2018F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Aug 3, 2018F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.CStandard
Aug 3, 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.EStandard
Aug 3, 2018F758Implement 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.EStandard
Aug 3, 2018F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Aug 3, 2018F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Aug 3, 2018F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard
Aug 3, 2018F732Post nurse staffing information every day.CStandard
Aug 3, 2018F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DStandard
Aug 3, 2018F692Provide enough food/fluids to maintain a resident's health.DStandard
Aug 3, 2018F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Aug 3, 2018F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Aug 3, 2018F688Provide 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.DStandard
Aug 3, 2018F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Aug 3, 2018F679Provide activities to meet all resident's needs.DStandard
Aug 3, 2018F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.FStandard
Aug 3, 2018F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.FStandard
Aug 3, 2018F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedFStandard
Aug 3, 2018F642Ensure a qualified health professional conducts resident assessments.DStandard
Aug 3, 2018F641Ensure each resident receives an accurate assessment.EStandard
Aug 3, 2018F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard
Aug 3, 2018F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.CStandard
Aug 3, 2018F624Prepare residents for a safe transfer or discharge from the nursing home.DStandard
Aug 3, 2018F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Aug 3, 2018F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard
Aug 3, 2018F610Respond appropriately to all alleged violations.DStandard
Aug 3, 2018F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Aug 3, 2018F584Honor 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.EStandard
Aug 3, 2018F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EStandard
Aug 3, 2018F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.DStandard
Aug 3, 2018F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.DStandard
Aug 3, 2018F558Reasonably accommodate the needs and preferences of each resident.DStandard
Aug 3, 2018F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.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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