All citations for Autumn Lake Healthcare at Alice Manor

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Autumn Lake Healthcare at Alice Manor

Last standard health inspection on record

May 1, 2025

Showing 1 to 25 of 86 citations

  1. Harm to a resident

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of November 20, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (March 15, 2024).

  2. No harm, with potential for more than minimal harm

    Establish an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0001, Emergency Preparedness Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 11, 2025).

  3. No harm, with potential for more than minimal harm

    Use approved construction type or materials.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0161, Construction Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 3, 2025).

  4. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 11, 2025).

  5. No harm, with potential for more than minimal harm

    Properly provide smoke detection systems in areas open to corridors.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0347, Smoke Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 11, 2025).

  6. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 11, 2025).

  7. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 11, 2025).

  8. No harm, with potential for more than minimal harm

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 11, 2025).

  9. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 11, 2025).

  10. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Widespread (many residents). CMS level F.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of June 14, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2021).

  11. No harm, with potential for more than minimal harm

    Use approved construction type or materials.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0161, Construction Deficiencies. Inspection of June 14, 2021. Found during a standard inspection.

    A waiver was granted (June 3, 2022).

  12. No harm, with potential for more than minimal harm

    Use approved construction type or materials.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0161, Construction Deficiencies. Inspection of September 12, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2018).

  13. No harm, with potential for more than minimal harm

    Install a fire alarm system that can be heard throughout the facility.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of September 12, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2018).

  14. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of May 1, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

  15. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2025).

  16. No harm, with potential for more than minimal harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 11, 2025).

  17. No harm, with potential for more than minimal harm

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0223, Egress Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 11, 2025).

  18. No harm, with potential for more than minimal harm

    Have restrictions on the use of portable space heaters.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 11, 2025).

  19. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of November 20, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 28, 2025).

  20. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 20, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 28, 2025).

  21. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 20, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 28, 2025).

  22. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of June 14, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2021).

  23. No harm, with potential for more than minimal harm

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0622, Resident Rights Deficiencies. Inspection of June 14, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2021).

  24. No harm, with potential for more than minimal harm

    Prepare residents for a safe transfer or discharge from the nursing home.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0624, Resident Rights Deficiencies. Inspection of June 14, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2021).

  25. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of June 14, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2021).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.