Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Facility profile · CCN 215315

Autumn Lake Healthcare At Oak Manor

36 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $11,381.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
36
Total citations
13
Last 3 years
1
Actual harm+
1
Federal penalties
$11,381
Total fines
4
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

36 on record
SurveyF-TagViolationSeveritySource
Jul 1, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Feb 19, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint
Feb 19, 2025F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.EComplaint
Feb 19, 2025F880Provide and implement an infection prevention and control program.DStandard
Feb 19, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Feb 19, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Feb 19, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard
Feb 19, 2025F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DStandard
Feb 19, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
Feb 19, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Feb 19, 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
Feb 19, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Nov 20, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Oct 20, 2020F880Provide and implement an infection prevention and control program.DStandard
Oct 20, 2020F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.CStandard
Oct 20, 2020F758Implement 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
Oct 20, 2020F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Oct 20, 2020F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Oct 20, 2020F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Oct 20, 2020F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Oct 20, 2020F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Oct 20, 2020F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Oct 20, 2020F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Jan 22, 2019F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
Jan 22, 2019F880Provide and implement an infection prevention and control program.DStandard
Jan 22, 2019F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard
Jan 22, 2019F759Ensure medication error rates are not 5 percent or greater.DStandard
Jan 22, 2019F730Observe each nurse aide's job performance and give regular training.CStandard
Jan 22, 2019F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Jan 22, 2019F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Jan 22, 2019F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Jan 22, 2019F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Jan 22, 2019F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jan 22, 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.BStandard
Jan 22, 2019F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.BStandard
Jan 22, 2019F578Honor 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.BStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $11,381 .

DateTypeFinePayment denial
Jul 1, 2025Fine$11,381
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.

Concerned about care at Autumn Lake Healthcare At Oak Manor?

An attorney who focuses on nursing-home abuse and neglect can review the facility's record with you — citation patterns, scope/severity levels, complaint-driven findings — and tell you whether the law recognizes what happened.

  • Consultation is free and confidential
  • You pay nothing unless there is a recovery
  • Your note is shared only with vetted plaintiff attorneys
Free · Confidential · Nationwide network
Free Consultation Request
Tell us about your family's situation
A plaintiff attorney will review your note and respond within one business day.