All citations for Autumn Lake Healthcare at Bradford Oaks
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.
Last standard health inspection on record
April 10, 2026
Showing 26 to 50 of 55 citations
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.
The home gave a date the problem would be corrected (May 30, 2026).
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.
The home gave a date the problem would be corrected (May 30, 2026).
No harm, with potential for more than minimal harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
The home gave a date the problem would be corrected (May 30, 2026).
No harm, with potential for more than minimal harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
The home gave a date the problem would be corrected (May 30, 2026).
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.
The home gave a date the problem would be corrected (May 30, 2026).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
The home gave a date the problem would be corrected (May 30, 2026).
No harm, with potential for more than minimal harm
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
The home gave a date the problem would be corrected (May 30, 2026).
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.
The home gave a date the problem would be corrected (May 30, 2026).
No harm, with potential for more than minimal harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
The home gave a date the problem would be corrected (May 30, 2026).
No harm, with potential for more than minimal harm
Meet other general requirements.
The home gave a date the problem would be corrected (May 30, 2026).
No harm, with potential for more than minimal harm
Ensure that residents are fully informed and understand their health status, care and treatments.
The home gave a date the problem would be corrected (February 4, 2026).
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
The home gave a date the problem would be corrected (February 4, 2026).
No harm, with potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
The home gave a date the problem would be corrected (February 4, 2026).
No harm, with potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
The home gave a date the problem would be corrected (February 4, 2026).
No harm, with potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
The home gave a date the problem would be corrected (November 21, 2025).
No harm, with potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
The home gave a date the problem would be corrected (March 28, 2025).
No harm, with potential for more than minimal harm
Respond appropriately to all alleged violations.
The home gave a date the problem would be corrected (March 28, 2025).
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
The home gave a date the problem would be corrected (March 28, 2025).
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.
The home gave a date the problem would be corrected (March 28, 2025).
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.
The home gave a date the problem would be corrected (March 28, 2025).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
The home gave a date the problem would be corrected (March 28, 2025).
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.
The home gave a date the problem would be corrected (January 22, 2020).
No harm, with potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
The home gave a date the problem would be corrected (January 22, 2020).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
The home gave a date the problem would be corrected (January 22, 2020).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
The home gave a date the problem would be corrected (January 13, 2020).
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.