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Facility profile · CCN 215090

Autumn Lake Healthcare At Loch Raven

86 federal citations on record .

Record summary

Federal record · Q1 2026
86
Total citations
43
Last 3 years
0
Actual harm+
0
Federal penalties
$0
Total fines
2
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

86 on record
SurveyF-TagViolationSeveritySource
Sep 11, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Sep 11, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Sep 11, 2025F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.DStandard
Sep 11, 2025F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard
Sep 11, 2025F946Provide training in compliance and ethics.DStandard
Sep 11, 2025F945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.DStandard
Sep 11, 2025F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.DStandard
Sep 11, 2025F880Provide and implement an infection prevention and control program.FStandard
Sep 11, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Sep 11, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Sep 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
Sep 11, 2025F761Ensure 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, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Sep 11, 2025F730Observe each nurse aide's job performance and give regular training.DStandard
Sep 11, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Sep 11, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Sep 11, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Sep 11, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Sep 11, 2025F641Ensure each resident receives an accurate assessment.DStandard
Sep 11, 2025F602Protect each resident from the wrongful use of the resident's belongings or money.DStandard
Sep 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
Sep 11, 2025F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.DStandard
Sep 11, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Sep 11, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Sep 6, 2023F880Provide and implement an infection prevention and control program.EComplaint
Sep 6, 2023F584Honor 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 13, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jun 13, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jun 13, 2023F610Respond appropriately to all alleged violations.DComplaint
Jun 13, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jun 13, 2023F685Assist a resident in gaining access to vision and hearing services.DComplaint
Jun 13, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Jun 13, 2023F881Implement a program that monitors antibiotic use.BStandard
Jun 13, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Jun 13, 2023F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Jun 13, 2023F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DStandard
Jun 13, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Jun 13, 2023F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Jun 13, 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.DStandard
Jun 13, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jun 13, 2023F641Ensure each resident receives an accurate assessment.DStandard
Jun 13, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Jan 10, 2019F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FStandard
Jan 10, 2019F880Provide and implement an infection prevention and control program.EStandard
Jan 10, 2019F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
Jan 10, 2019F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Jan 10, 2019F838Conduct 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.FStandard
Jan 10, 2019F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jan 10, 2019F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard
Jan 10, 2019F770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard
Jan 10, 2019F761Ensure 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
Jan 10, 2019F760Ensure that residents are free from significant medication errors.EStandard
Jan 10, 2019F759Ensure medication error rates are not 5 percent or greater.DStandard
Jan 10, 2019F758Implement 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
Jan 10, 2019F757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard
Jan 10, 2019F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Jan 10, 2019F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Jan 10, 2019F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard
Jan 10, 2019F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
Jan 10, 2019F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Jan 10, 2019F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard
Jan 10, 2019F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Jan 10, 2019F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Jan 10, 2019F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Jan 10, 2019F688Provide 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
Jan 10, 2019F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Jan 10, 2019F685Assist a resident in gaining access to vision and hearing services.DStandard
Jan 10, 2019F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Jan 10, 2019F679Provide activities to meet all resident's needs.DStandard
Jan 10, 2019F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Jan 10, 2019F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Jan 10, 2019F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.FStandard
Jan 10, 2019F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.FStandard
Jan 10, 2019F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedFStandard
Jan 10, 2019F641Ensure each resident receives an accurate assessment.EStandard
Jan 10, 2019F637Assess the resident when there is a significant change in conditionDStandard
Jan 10, 2019F625Notify 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
Jan 10, 2019F624Prepare residents for a safe transfer or discharge from the nursing home.DStandard
Jan 10, 2019F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.CStandard
Jan 10, 2019F584Honor 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
Jan 10, 2019F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Jan 10, 2019F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.CStandard
Jan 10, 2019F558Reasonably accommodate the needs and preferences of each resident.DStandard
Jan 10, 2019F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DStandard
Jan 10, 2019F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
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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