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 26 to 40 of 40 citations

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

    Provide activities to meet all resident's needs.

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

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of August 3, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2018).

  2. 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 August 3, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2018).

  3. 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 August 3, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2018).

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of August 3, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2018).

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

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of August 3, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2018).

  6. 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 August 3, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2018).

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

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

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

    Health citation F-0744, Quality of Life and Care Deficiencies. Inspection of August 3, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2018).

  8. 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 August 3, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2018).

  9. 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 August 3, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2018).

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

    Make sure that a working call system is available in each resident's bathroom and bathing area.

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

    Health citation F-0919, Environmental Deficiencies. Inspection of August 3, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2018).

  11. 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 August 3, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2018).

  12. 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 August 3, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2018).

  13. No harm, with potential for minimal harm

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Widespread (many residents). CMS level C.

    Health citation F-0806, Nutrition and Dietary Deficiencies. Inspection of August 3, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2018).

  14. No harm, with potential for 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 C.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of August 3, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 24, 2018).

  15. 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 August 3, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 24, 2018).

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.