Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 525504

Autumn Lake Healthcare At Greenfield

76 federal citations on record , including 1 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $176,440.

Abuse Icon 1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
76
Total citations
61
Last 3 years
8
Actual harm+
4
Federal penalties
$176,440
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care29 Medication & Pharmacy15 Abuse & Neglect8 Care Planning8 Resident Rights4

Most common F-tags at this facility

F6866 F6896 F6564 F8804 F6844

Citation history

76 on record
SurveyF-TagViolationSeveritySource
Dec 13, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Dec 13, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint
Dec 13, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Dec 13, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Dec 13, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Jul 8, 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
Mar 26, 2025F880Provide and implement an infection prevention and control program.DComplaint
Mar 26, 2025F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DComplaint
Mar 26, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Mar 26, 2025F732Post nurse staffing information every day.CComplaint
Mar 26, 2025F692Provide enough food/fluids to maintain a resident's health.DComplaint
Mar 26, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Mar 26, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Mar 26, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Mar 26, 2025F610Respond appropriately to all alleged violations.DComplaint
Mar 26, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Dec 12, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Dec 12, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Dec 12, 2024F758Implement 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
Dec 12, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Dec 12, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Dec 12, 2024F688Provide 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
Dec 12, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Dec 12, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Dec 12, 2024F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard
Dec 12, 2024F638Assure that each resident’s assessment is updated at least once every 3 months.DStandard
Dec 12, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard
Dec 12, 2024F578Honor 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
Sep 25, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Sep 25, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Sep 25, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Aug 13, 2024F880Provide and implement an infection prevention and control program.DComplaint
Aug 13, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
Aug 13, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Aug 13, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Aug 13, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Aug 13, 2024F610Respond appropriately to all alleged violations.DComplaint
Aug 13, 2024F585Honor 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
Aug 13, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint
Feb 14, 2024F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.EComplaint
Feb 14, 2024F759Ensure medication error rates are not 5 percent or greater.EComplaint
Nov 21, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Sep 11, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Sep 11, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Sep 11, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Sep 11, 2023F761Ensure 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
Sep 11, 2023F759Ensure medication error rates are not 5 percent or greater.DStandard
Sep 11, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Sep 11, 2023F692Provide enough food/fluids to maintain a resident's health.DStandard
Jun 13, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
May 10, 2023F880Provide and implement an infection prevention and control program.DComplaint
May 10, 2023F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DComplaint
May 10, 2023F761Ensure 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.DComplaint
May 10, 2023F759Ensure medication error rates are not 5 percent or greater.DComplaint
May 10, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
May 10, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 10, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
May 10, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
May 10, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
May 10, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
May 10, 2023F610Respond appropriately to all alleged violations.DComplaint
May 16, 2022F880Provide and implement an infection prevention and control program.EStandard
May 16, 2022F770Provide timely, quality laboratory services/tests to meet the needs of residents.GStandard
May 16, 2022F761Ensure 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
May 16, 2022F759Ensure medication error rates are not 5 percent or greater.DStandard
May 16, 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
May 16, 2022F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
May 16, 2022F692Provide enough food/fluids to maintain a resident's health.DStandard
May 16, 2022F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
May 16, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard
May 16, 2022F688Provide 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
May 16, 2022F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
May 16, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard
May 16, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
May 16, 2022F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
May 16, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 2 civil money penalties totaling $176,440 and 2 payment-denial actions spanning 60 days.

DateTypeFinePayment denial
Aug 13, 2024Fine$125,694—
Aug 13, 2024Payment Denial—Sep 12, 2024 · 54 days
May 10, 2023Fine$50,746—
May 10, 2023Payment Denial—Jun 8, 2023 · 6 days
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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