Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Renewal
Census: 88
Capacity: 100
Deficiencies: 0
Jun 9, 2025
Visit Reason
The inspection visit was conducted as a licensing inspection for renewal purposes and included review of complaint investigations CT38347 and CT41283.
Findings
The report indicates that the inspection was a licensing renewal inspection with complaint investigations noted. No explicit findings or deficiencies are detailed in the provided pages.
Complaint Details
Complaint investigations referenced by numbers CT38347 and CT41283 are noted, but no substantiation status or details are provided.
Report Facts
Licensed Bed/Bassinet Capacity: 100
Census: 88
Inspection Dates: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Arnea Perez | Administrator | Personnel contacted during inspection |
| Carla Solipa | DNS | Personnel contacted during inspection |
Inspection Report
Complaint Investigation
Deficiencies: 3
Oct 31, 2024
Visit Reason
Unannounced visits were conducted at Autumn Lake Healthcare At Glen Hill to perform multiple desk investigations related to complaints #25094 and #29817.
Findings
The facility was found deficient in providing adequate supervision to prevent resident falls resulting in injury, timely reporting of changes in resident conditions, and maintaining complete and accurate clinical records including notifications to physicians and responsible parties. Specific incidents involved two residents with documented failures in care and communication.
Complaint Details
This inspection was complaint-driven, related to complaints #25094 and #29817. The findings substantiated failures in supervision, timely reporting, and documentation.
Deficiencies (3)
| Description |
|---|
| Failure to ensure staff provided adequate supervision to prevent Resident #1 from falling and sustaining a right femur fracture during personal care. |
| Failure to ensure a change in condition for Resident #2 was reported timely to the physician and responsible party. |
| Failure to maintain complete and accurate clinical records for Resident #2, including documentation of notifications to physician/APRN and responsible party, and transfer details. |
Report Facts
Compliance date: Nov 18, 2024
BIMS score: 1
BIMS score: 5
Fall incident date: Mar 8, 2021
Change in condition date: Feb 2, 2018
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maureen Golas Markure | Supervising Nurse Consultant | Author of the inspection report and contact for questions regarding violations. |
| Rhea Perez | Administrator | Facility administrator addressed in the report. |
Inspection Report
Original Licensing
Deficiencies: 0
Feb 22, 2024
Visit Reason
This document is a Pre-Licensure Consent Order related to the initial licensing of a nursing home facility, Autumn Lake Healthcare at Glen Hill, following a change of ownership and purchase of an existing chronic and convalescent nursing home.
Findings
The document outlines the terms and conditions for the issuance of the initial nursing home license, including requirements for contracting an Independent Nurse Consultant (INC), compliance with federal and state regulations, staffing and administrative responsibilities, and facility maintenance and safety evaluations. It includes detailed plans for ongoing monitoring, reporting, and corrective actions to ensure compliance.
Report Facts
Contract duration: 1
INC consulting hours: 8
INC consulting duration: 6
Penalty amount: 1000
Penalty amount: 100
Contract execution timeframe: 2
Contract execution timeframe: 14
Initial onsite review timeframe: 30
Report development timeframe: 30
Report submission timeframe: 14
Re-evaluation frequency: 3
Vendor payment timeframe: 120
Report submission frequency: 2
Quality Assurance Committee meeting frequency: 30
Emergency preparedness plan review timeframe: 4
In-service coordinator dedication: 8
INC consulting evaluation timeframe: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mark Schwartz | CEO | CEO of 1 Glen Hill RD OPCO LLC d/b/a Autumn Lake Healthcare at Glen Hill, signed the Pre-Licensure Consent Order |
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