AUTUMN HILL MANOR

The facility failed to keep documentation about the fire alarm system onsite at the facility.

Life Safety CodeCited Jun 11, 2025Corrected —

The facility failed to have a program to inspect, test, and maintain the fire sprinkler system and keep records of inspection, testing, and maintenance of the fire sprinkler system.

Life Safety CodeCited Jun 11, 2025Corrected —

The facility failed to have documented evidence that direct care staff had completed all required continuing education.

Health VisitCited Dec 4, 2024Corrected Dec 26, 2024

The facility failed to search the NAR and EMR annually.

Health VisitCited Dec 4, 2024Corrected Dec 20, 2024

The facility failed to store poisonous substances and medications labeled for external use only separately within the locked medication area.

Health VisitCited Dec 4, 2024Corrected Dec 23, 2024

The facility failed to keep discontinued medications separate from current medications or failed to meet requirements for appropriate disposal of discontinued medications.

Health VisitCited Dec 4, 2024Corrected Dec 5, 2024

The facility failed to ensure that all employees providing services were screened for tuberculosis within two weeks of employment and annually.

Health VisitCited Dec 4, 2024Corrected Dec 20, 2024

The facility failed to have staff sign a statement indicating an employee may be criminally liable for the failure to report abuse, neglect, or exploitation.

Health VisitCited Dec 4, 2024Corrected Dec 19, 2024