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 26 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

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

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of April 17, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 6, 2026).

  15. 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.

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

    Health citation F-0584, Resident Rights 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).

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

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

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

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

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

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

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

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

    Provide safe, appropriate pain management for a resident who requires such services.

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

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

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

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

    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.

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

    Health citation F-0728, Nursing and Physician Services Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

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

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

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

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

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

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

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

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

    Provide or obtain dental services for each resident.

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

    Health citation F-0791, Quality of Life and Care Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

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

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

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

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

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

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

    Fire safety citation K-0225, 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).

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

    Have correct number of accessible exits for each story.

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

    Fire safety citation K-0241, Egress Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

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

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.