The most recent inspection on June 9, 2025, was a licensing renewal inspection and did not list any deficiencies. Earlier inspections showed mixed results, with the October 31, 2024 complaint investigation identifying deficiencies related to supervision to prevent resident falls, timely reporting of changes in condition, and clinical recordkeeping. The substantiated issues involved failures to prevent a resident fall causing injury, delays in notifying physicians and responsible parties about condition changes, and incomplete documentation. Complaint investigations prior to the renewal inspection were substantiated, but no enforcement actions such as fines or license suspensions were noted in the available reports. The inspection history suggests some improvement since the last inspection was clean following earlier identified issues.
Deficiencies (last 2 years)
Deficiencies (over 2 years)1.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
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.
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, 2024BIMS score: 1BIMS score: 5Fall incident date: Mar 8, 2021Change 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 LicensingDeficiencies: 0Feb 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.