All citations for Autumn Lake Healthcare at Loch Raven

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 Loch Raven

Last standard health inspection on record

September 11, 2025

Showing 1 to 25 of 115 citations

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.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of September 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (October 24, 2025).
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 September 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (October 24, 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 September 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 6, 2026).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of September 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 6, 2026).
No harm, with potential for more than minimal harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Widespread (many residents). CMS level F.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 6, 2026).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Widespread (many residents). CMS level F.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of June 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 30, 2023).
No harm, with potential for more than minimal harm
Install a fire alarm system that can be heard throughout the facility.
Widespread (many residents). CMS level F.
Fire safety citation K-0341, Smoke Deficiencies. Inspection of June 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 30, 2023).
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 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 30, 2023).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of June 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 1, 2023).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of June 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 1, 2023).
No harm, with potential for more than minimal harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Widespread (many residents). CMS level F.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 1, 2023).
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 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 1, 2023).
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
Widespread (many residents). CMS level F.
Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of January 10, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (March 1, 2019).
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.
Widespread (many residents). CMS level F.
Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of January 10, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (March 1, 2019).
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.
Widespread (many residents). CMS level F.
Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of January 10, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (March 1, 2019).
No harm, with potential for more than minimal harm
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Widespread (many residents). CMS level F.
Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of January 10, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (March 1, 2019).
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.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of January 10, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (March 1, 2019).
No harm, with potential for more than minimal harm
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Widespread (many residents). CMS level F.
Health citation F-0838, Administration Deficiencies. Inspection of January 10, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (March 1, 2019).
No harm, with potential for more than minimal harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Widespread (many residents). CMS level F.
Health citation F-0867, Administration Deficiencies. Inspection of January 10, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (March 1, 2019).
No harm, with potential for more than minimal harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Widespread (many residents). CMS level F.
Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of January 10, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (March 1, 2019).
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 April 30, 2026. Found during a complaint inspection.
The home gave a date the problem would be corrected (June 10, 2026).
No harm, with potential for more than minimal harm
Assure that each resident’s assessment is updated at least once every 3 months.
Pattern (more than a few residents). CMS level E.
Health citation F-0638, Resident Assessment and Care Planning Deficiencies. Inspection of April 30, 2026. Found during a complaint inspection.
The home gave a date the problem would be corrected (June 10, 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.
Pattern (more than a few residents). CMS level E.
Health citation F-0761, Pharmacy Service Deficiencies. Inspection of September 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (October 24, 2025).
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 September 6, 2023. Found during a complaint inspection.
The home gave a date the problem would be corrected (October 17, 2023).
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 September 6, 2023. Found during a complaint inspection.
The home gave a date the problem would be corrected (October 17, 2023).

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.