All citations for Autumn Lake Healthcare at Crystal Springs

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 Crystal Springs

Last standard health inspection on record

March 6, 2025

Showing 1 to 25 of 74 citations

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

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Widespread (many residents). CMS level F.

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of February 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of July 14, 2026. Found during a complaint inspection.

    The home has a plan to correct it (September 12, 2026).

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

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of March 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 2, 2025).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of March 6, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 2, 2025).

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

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

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

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of March 6, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 2, 2025).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of March 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 2, 2025).

  8. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of March 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 2, 2025).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of March 6, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 2, 2025).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of November 26, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 6, 2025).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of November 26, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 6, 2025).

  12. 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.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of November 26, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 6, 2025).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of February 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

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

    Honor the resident's right to manage his or her financial affairs.

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

    Health citation F-0567, Resident Rights Deficiencies. Inspection of February 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

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

    Give residents a notice of rights, rules, services and charges.

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

    Health citation F-0572, Resident Rights Deficiencies. Inspection of February 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of February 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 22, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of February 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

  19. 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.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of February 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

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

    Observe each nurse aide's job performance and give regular training.

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

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of February 22, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

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

    Post nurse staffing information every day.

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

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of February 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

  22. 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.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of February 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

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

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

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

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of February 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of February 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

  25. 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.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of February 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

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.