Autumn Creek Post Acute

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Rule F0842. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 13, 2026.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 25, 2026.

Ensure that residents are fully informed and understand their health status, care and treatments.

Rule F0552. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 17, 2026.

Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted

Rule F0655. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 17, 2026.

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 21, 2026.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 15, 2026.

Ensure the transfer/discharge meets the resident’s needs/preferences and that the resident is prepared for a safe transfer/discharge.

Rule F0627. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 8, 2026.

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. The provider has asked for a review. Correction date, as CMS recorded it: Apr 1, 2026.

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Rule F0725. E: no actual harm, potential for more than minimal harm. From a complaint. The provider has asked for a review. Correction date, as CMS recorded it: Mar 14, 2026.

Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted

Rule F0655. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 21, 2026.

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Rule F0728. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 26, 2026.

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Rule F0837. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 26, 2026.

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Rule F0755. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 5, 2026.

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 30, 2025.

Give the resident’s representative the ability to exercise the resident’s rights.

Rule F0551. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 20, 2025.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. G: actual harm. From a complaint. Correction date, as CMS recorded it: Nov 12, 2025.

Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Rule F0580. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 12, 2025.

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 12, 2025.

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Rule F0690. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 12, 2025.

Honor the resident’s right to be treated with respect and dignity and to retain and use personal possessions.

Rule F0557. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 5, 2025.

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.

Rule F0761. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 5, 2025.

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.

Rule F0578. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 26, 2025.

Ensure the resident’s doctor reviews the resident’s care, writes, signs and dates progress notes and orders, at each required visit.

Rule F0711. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 26, 2025.

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Rule F0686. G: actual harm. From a complaint. Correction date, as CMS recorded it: Aug 5, 2025.

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Rule F0657. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 16, 2025.

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.

Rule F0761. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 22, 2025.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 25, 2025.

Provide and implement an infection prevention and control program.

Rule F0880. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 19, 2025.

Make sure that a working call system is available in each resident’s bathroom and bathing area.

Rule F0919. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 13, 2025.

Provide and implement an infection prevention and control program.

Rule F0880. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 12, 2025.

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 8, 2025.

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Rule F0755. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 8, 2025.

Honor the resident’s right to be treated with respect and dignity and to retain and use personal possessions.

Rule F0557. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 10, 2025.

Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Rule F0580. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 10, 2025.

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Rule F0842. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 10, 2025.

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.

Rule F0584. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 22, 2025.

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Rule F0725. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 22, 2025.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Rule F0812. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 22, 2025.

Provide and implement an infection prevention and control program.

Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 22, 2025.

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Rule F0600. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 22, 2025.

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Rule F0842. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 22, 2025.

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Rule F0600. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 8, 2025.

Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Rule F0550. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 13, 2024.

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Rule F0600. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 13, 2024.

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Rule F0725. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 7, 2024.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 10, 2024.

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Rule F0698. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 10, 2024.

Provide care and assistance to perform activities of daily living for any resident who is unable.

Rule F0677. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 18, 2024.

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Rule F0678. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 25, 2024.

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

Rule F0836. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 25, 2024.

Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Rule F0580. G: actual harm. From a complaint. Correction date, as CMS recorded it: Jun 12, 2024.

Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Rule F0550. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 12, 2024.

Plan the resident’s discharge to meet the resident’s goals and needs.

Rule F0660. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 12, 2024.

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Rule F0725. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 12, 2024.

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.

Rule F0726. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 12, 2024.

Keep all essential equipment working safely.

Rule F0908. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 12, 2024.

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Rule F0600. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 21, 2024.

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Rule F0607. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 21, 2024.

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Rule F0626. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 25, 2024.

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Rule F0600. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 8, 2024.

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Rule F0640. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 23, 2024.

Ensure each resident receives an accurate assessment.

Rule F0641. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 23, 2024.

Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 23, 2024.

Ensure services provided by the nursing facility meet professional standards of quality.

Rule F0658. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 23, 2024.

Ensure medication error rates are not 5 percent or greater.

Rule F0759. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 23, 2024.

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Rule F0806. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 23, 2024.

Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Rule F0550. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 29, 2024.

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Rule F0600. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 29, 2024.

Honor each resident’s preferences, choices, values and beliefs.

Rule F0675. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 26, 2024.

Honor the resident’s right to be treated with respect and dignity and to retain and use personal possessions.

Rule F0557. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 19, 2024.

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Rule F0657. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 19, 2024.

Provide care and assistance to perform activities of daily living for any resident who is unable.

Rule F0677. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 19, 2024.

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Rule F0600. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 22, 2023.

Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Rule F0656. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 26, 2023.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. G: actual harm. From a complaint. Correction date, as CMS recorded it: Dec 22, 2023.

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.

Rule F0726. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 22, 2023.