Facility profile · CCN 215326
Autumn Lake Healthcare At Summit Park
80 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $49,221.
Record summary
Federal record · Q1 202680
Total citations
51
Last 3 years
2
Actual harm+
1
Federal penalties
$49,221
Total fines
3
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
80 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Aug 27, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Aug 27, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Aug 27, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint |
| Aug 27, 2025 | F584 | Honor 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. | D | Complaint |
| Aug 27, 2025 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Standard |
| Aug 27, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Aug 27, 2025 | F730 | Observe each nurse aide's job performance and give regular training. | E | Standard |
| Aug 27, 2025 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard |
| Aug 27, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Aug 27, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Aug 27, 2025 | F679 | Provide activities to meet all resident's needs. | E | Standard |
| Aug 27, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Aug 27, 2025 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Aug 27, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
| Aug 27, 2025 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint |
| Aug 27, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Aug 27, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Dec 22, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Dec 22, 2023 | F849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard |
| Dec 22, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Dec 22, 2023 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Standard |
| Dec 22, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Dec 22, 2023 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard |
| Dec 22, 2023 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Dec 22, 2023 | F803 | Ensure 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. | D | Standard |
| Dec 22, 2023 | F801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard |
| Dec 22, 2023 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Dec 22, 2023 | F761 | Ensure 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. | D | Standard |
| Dec 22, 2023 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Dec 22, 2023 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Dec 22, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Dec 22, 2023 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard |
| Dec 22, 2023 | F711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Standard |
| Dec 22, 2023 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | G | Standard |
| Dec 22, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Dec 22, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Dec 22, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Dec 22, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Dec 22, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Dec 22, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Dec 22, 2023 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Dec 22, 2023 | F625 | Notify 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. | D | Standard |
| Dec 22, 2023 | F624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | Standard |
| Dec 22, 2023 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Dec 22, 2023 | F584 | Honor 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. | F | Standard |
| Dec 22, 2023 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Dec 22, 2023 | F578 | Honor 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. | D | Standard |
| Dec 22, 2023 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard |
| Dec 22, 2023 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard |
| Nov 13, 2023 | F626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Complaint |
| Nov 13, 2023 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint |
| Mar 21, 2019 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Mar 21, 2019 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard |
| Mar 21, 2019 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Mar 21, 2019 | F776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | Standard |
| Mar 21, 2019 | F761 | Ensure 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. | D | Standard |
| Mar 21, 2019 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Mar 21, 2019 | F758 | Implement 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. | D | Standard |
| Mar 21, 2019 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Mar 21, 2019 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard |
| Mar 21, 2019 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Mar 21, 2019 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard |
| Mar 21, 2019 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Mar 21, 2019 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Mar 21, 2019 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Mar 21, 2019 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| Mar 21, 2019 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Mar 21, 2019 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Mar 21, 2019 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Mar 21, 2019 | F625 | Notify 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. | D | Standard |
| Mar 21, 2019 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| Mar 21, 2019 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Mar 21, 2019 | F605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard |
| Mar 21, 2019 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard |
| Mar 21, 2019 | F584 | Honor 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. | D | Standard |
| Mar 21, 2019 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Mar 21, 2019 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | D | Standard |
| Mar 21, 2019 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Mar 21, 2019 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard |
| Mar 21, 2019 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $49,221 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Nov 13, 2023 | Fine | $49,221 | — |
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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