All citations for Autumn Lake Healthcare at Ballenger Creek

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 Ballenger Creek

Last standard health inspection on record

June 30, 2026

Showing 1 to 25 of 92 citations

  1. Immediate jeopardy to resident health or safety

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

    Past non-compliance: already corrected by the time of the inspection (June 15, 2022).

  2. Harm to a resident

    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 G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 16, 2023).

  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 June 30, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 14, 2026).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of June 30, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 14, 2026).

  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 June 30, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 14, 2026).

  6. 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 June 30, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 14, 2026).

  7. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of June 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2025).

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

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Widespread (many residents). CMS level F.

    Health citation F-0887, Infection Control Deficiencies. Inspection of June 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2025).

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

    Address patient/client population and determine types of services needed.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of June 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2025).

  10. 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 June 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2025).

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

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

    Widespread (many residents). CMS level F.

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 16, 2023).

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

    Observe each nurse aide's job performance and give regular training.

    Widespread (many residents). CMS level F.

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 16, 2023).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 30, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 14, 2026).

  14. 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 4, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 10, 2026).

  15. 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 June 30, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (August 1, 2025).

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

    Assess the resident when there is a significant change in condition

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

    Health citation F-0637, Resident Assessment and Care Planning Deficiencies. Inspection of June 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2025).

  17. 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 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2025).

  18. 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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of June 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2025).

  19. 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.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of June 30, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (August 1, 2025).

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

    Provide activities to meet all resident's needs.

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

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of June 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2025).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of June 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2025).

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

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

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of June 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2025).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of June 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2025).

  24. 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 June 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2025).

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

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

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

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of June 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 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.