5 Reports
Inspection Report — Jun 24, 2021
Complaint Investigation
Date: Jun 24, 2021
Visit Reason
The inspection was conducted following a complaint investigation at Autumn Springs Assisted Living.
Complaint Details
The complaint investigation identified medication administration errors and inaccurate medication records involving oxycodone dosages for a resident.
Findings
Two deficiencies were found related to medication administration and documentation errors involving oxycodone dosages given to a resident.
Deficiencies (2)
37.106.2848-6 Medications: administration and preparat: a resident received 8 tablets of another resident's 5 mg oxycodone, indicating improper medication administration.
37.106.2849-1 Medications: records and documentation: medication administration records incorrectly documented 5 mg oxycodone tablets as 10 mg, causing dosage discrepancies.
Inspection Report — Jul 18, 2019
Original Licensing
Date: Jul 18, 2019
Visit Reason
The facility underwent an initial inspection as part of the licensing process.
Findings
Two deficiencies were found related to employee files: the administrator's job description was not current or initialed, and there was no written documentation of screening findings for another employee.
Deficiencies (2)
37.106.2817-2 Employee files: there is no current, initialed job description for the administrator.
37.106.2816-2 Assisted living facility staffing: there is no evidence of written documentation of findings for screening of an employee.
Inspection Report — Sep 18, 2018
Complaint Investigation
Date: Sep 18, 2018
Visit Reason
The complaint investigation addressed concerns about resident placement and staffing adequacy at the facility.
Complaint Details
The complaint investigation cited issues with resident placement not meeting licensure requirements and inadequate housekeeping staffing affecting safety and cleanliness.
Findings
Two deficiencies were found: improper placement of residents without required notice and inadequate housekeeping staffing affecting cleanliness and resident needs.
Deficiencies (2)
50-5-226-2 Placement in assisted living facilities: the facility housed residents who did not meet Category A requirements without providing the required 30 day notice.
37.106.2816-6 Assisted living facility staffing: the facility lacked enough qualified staff to maintain housekeeping and meet resident needs in this 66 licensed bed facility.
Report Facts
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Inspection Report — Sep 19, 2017
Renewal
Date: Sep 19, 2017
Visit Reason
The facility underwent a renewal inspection to assess compliance with licensing standards.
Findings
Three deficiencies were identified related to food service labeling, laundry protective covers, and employee orientation documentation.
Deficiencies (3)
37.106.2860-1 Food service: prepared food in the kitchen refrigerator was not labeled and dated.
37.106.331-1 Minimum standard for all health care facilities: laundry and bedding: there were no protective covers for staff to use while working with soiled laundry.
37.106.2817-2 Employee files: three out of four employee files reviewed did not have initialed documentation of employee orientation.
Inspection Report — Jun 16, 2016
Renewal
Date: Jun 16, 2016
Visit Reason
The survey was conducted as a renewal inspection to assess compliance with licensing requirements.
Findings
The facility's resident service plans did not reflect the activity director's identification of resident needs and interests. The facility was not providing therapeutic or special diets despite admission criteria indicating otherwise, and a broken outside window was observed in the meeting room.
Deficiencies (3)
37.106.2831-2 Resident activities: resident service plans did not reflect the activity director's identification of resident needs and interests.
37.106.2860-5 Food service: the facility was not providing therapeutic or special diets as required by admission criteria.
37.106.2865-6 Physical plant: an outside window in the meeting room on the first floor was broken.
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