All citations for Autumn Lake Healthcare at Birch 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 Birch Manor

Last standard health inspection on record

June 11, 2025

Showing 1 to 10 of 10 citations

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of June 9, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2020).

  2. 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 June 9, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2020).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of June 9, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2020).

  4. No harm, with potential for minimal harm

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

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of June 9, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2020).

  5. No harm, with potential for minimal harm

    Create arrangements with other facilities to receive patients.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0025, Emergency Preparedness Deficiencies. Inspection of June 9, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2020).

  6. No harm, with potential for minimal harm

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of June 9, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2020).

  7. No harm, with potential for minimal harm

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of June 9, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2020).

  8. No harm, with potential for minimal harm

    Meet requirements for the installation and maintenance of electrical systems.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 9, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2020).

  9. No harm, with potential for minimal harm

    Have proper medical gas storage and administration areas.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 9, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2020).

  10. No harm, with potential for minimal harm

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of June 9, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2020).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.