All citations for Autumn Lake Healthcare at Calvert 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 Calvert Manor

Last standard health inspection on record

May 26, 2026

Showing 26 to 36 of 36 citations

  1. 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 April 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2025).

  2. 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 April 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2025).

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

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

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

    Health citation F-0868, Administration Deficiencies. Inspection of April 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2025).

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

    Meet other general requirements.

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

    Fire safety citation K-0100, Construction Deficiencies. Inspection of April 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2025).

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

    Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion.

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

    Fire safety citation K-0224, Egress Deficiencies. Inspection of April 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2025).

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

    Have exits that are accessible at all times.

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

    Fire safety citation K-0271, Egress Deficiencies. Inspection of April 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2025).

  7. 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.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of April 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2025).

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

    Install a fire alarm system that can be heard throughout the facility.

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

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of April 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2025).

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

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

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of April 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2025).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of April 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2025).

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

    Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

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

    Fire safety citation K-0700, Miscellaneous Deficiencies. Inspection of April 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2025).

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.