Autumn Village

The facility failed to provide the required 14 hours of planned group activities per week. Observations and record reviews showed that scheduled activities, such as daily devotions and independent exercise, were not being conducted as planned. Additionally, an activity calendar was not posted in common areas, and the time for the Resident Council meeting was not documented.

The facility failed to provide the required 14 hours of planned group activities per week. Observations and interviews revealed that activities were infrequent, an activity calendar was not posted in common areas, and scheduled activities like daily devotions and independent exercise were not occurring as planned.

The facility failed to administer medications in accordance with orders and policies, resulting in an 11% error rate for 3 of 6 residents. During an observation, a Medication Aide failed to prime an insulin pen and did not hold the dose for the required 5 seconds after injection.

The facility failed to document that staff, the Resident Care Coordinator, and the Responsible Party/Guardian were notified to discuss the discharge plan or the facility's inability to meet the resident's needs. Specifically, for Resident #8, there was no evidence of coordination regarding the discharge due to non-payment.

The facility failed to ensure an appropriate discharge placement for a resident. Specifically, the resident was left at a hotel without access to any necessary services.

The facility failed to provide appropriate documentation to justify a resident's discharge based on safety concerns. While the discharge notice cited danger to others, progress notes only documented non-payment, and the physician stated the resident was not a threat to others.

The facility failed to ensure that 7 of 8 exit doors accessible to residents with known disorientation and wandering behaviors were equipped with audible sounding devices. Observations revealed several unlocked and unalarmed doors, including a door in the dayroom leading outside that lacked a sounding device.

The facility failed to ensure that 7 of 8 exit doors accessible to residents with known disorientation and wandering behaviors were equipped with functioning sounding devices. Observations revealed several unlocked and unalarmed doors, including a door in the dayroom that led outside without a sounding device. This lack of alerting devices prevented staff from being notified when residents attempted to exit the building.

The facility failed to ensure feeding assistance was provided in a manner that maintained the dignity and respect of residents. Specifically, staff were observed feeding two different residents at the same time, which does not meet the requirement for unhurried assistance that enhances resident dignity.

The facility failed to ensure floor coverings were clean and in good repair. In Resident #5's room, several pieces of laminate flooring were missing, exposing the underlying tile floor.