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 26 to 48 of 48 citations

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

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

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

    Health citation F-0773, Administration Deficiencies. Inspection of November 20, 2024. Found during a complaint inspection.

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

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

    PASARR screening for Mental disorders or Intellectual Disabilities

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

    Health citation F-0645, 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).

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

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

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

    Health citation F-0656, 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).

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

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

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of June 14, 2021. Found during a standard inspection.

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

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of June 14, 2021. Found during a standard inspection.

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

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

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

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of June 14, 2021. Found during a standard inspection.

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

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

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

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

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of June 14, 2021. Found during a standard inspection.

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

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, 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).

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

    Provide routine and 24-hour emergency dental care for each resident.

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

    Health citation F-0790, Quality of Life and Care Deficiencies. Inspection of June 14, 2021. Found during a standard inspection.

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

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

    Put firmly secured handrails on each side of hallways.

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

    Health citation F-0924, Environmental 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

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

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

    Health citation F-0943, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 14, 2021. Found during a standard inspection.

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

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

    List the names and contact information of those in the facility.

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

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of June 14, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2021).

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

    Establish staff and initial training requirements.

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

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of June 14, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2021).

  14. 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 June 14, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2021).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of June 14, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2021).

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

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

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of June 14, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2021).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of June 14, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2021).

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

    Meet requirements for the use of electrical equipment.

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

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 14, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2021).

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

    Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled.

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

    Fire safety citation K-0928, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 14, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2021).

  20. No harm, with potential for minimal harm

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    Widespread (many residents). CMS level C.

    Health citation F-0559, 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).

  21. No harm, with potential for minimal harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Widespread (many residents). CMS level C.

    Health citation F-0623, 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).

  22. No harm, with potential for minimal harm

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Widespread (many residents). CMS level C.

    Health citation F-0625, 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 minimal harm

    Post nurse staffing information every day.

    Widespread (many residents). CMS level C.

    Health citation F-0732, Nursing and Physician Services 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.