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 76 to 92 of 92 citations

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

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

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

    Ensure the activities program is directed by a qualified professional.

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

    Health citation F-0680, 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

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

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

    Health citation F-0711, 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).

  4. 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.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

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

  5. 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 November 15, 2022. Found during a standard inspection.

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

  6. 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.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

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

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

    Have a plan that describes the process for conducting QAPI and QAA activities.

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

    Health citation F-0865, Administration Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

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

  8. 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 November 15, 2022. Found during a standard inspection.

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

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

    Develop and maintain an Emergency Preparedness Program (EP).

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

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2022).

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

    Construct fire resistant interior walls.

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

    Fire safety citation K-0331, Smoke Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2022).

  11. 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 November 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2022).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2022).

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

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

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2022).

  14. 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 November 15, 2022. Found during a standard inspection.

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

  15. No harm, with potential for minimal harm

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2022).

  16. No harm, with potential for minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2022).

  17. No harm, with potential for minimal harm

    Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

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

    Health citation F-0573, Resident Rights Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

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

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.