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 20 of 20 citations

No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 22, 2025).
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 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 22, 2025).
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 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 22, 2025).
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 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 22, 2025).
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).
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 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 22, 2025).
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 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 22, 2025).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 22, 2025).
No harm, with potential for more than minimal harm
Have proper medical gas storage and administration areas.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 22, 2025).
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).
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).
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).
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).
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).
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).
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).
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).
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).
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).
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.