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 26 to 50 of 114 citations

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of June 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2023).

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

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

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

    Fire safety citation K-0225, Egress Deficiencies. Inspection of June 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2023).

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

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

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

    Fire safety citation K-0355, 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).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of June 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2023).

  5. 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 January 10, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2019).

  6. 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 January 10, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2019).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, 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).

  8. 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.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of January 10, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2019).

  9. 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 January 10, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2019).

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

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of January 10, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2019).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of January 10, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2019).

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of January 10, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2019).

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

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

    Health citation F-0725, 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).

  14. 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.

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

    Health citation F-0726, 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).

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of January 10, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2019).

  16. 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.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of January 10, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2019).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of January 10, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2019).

  18. 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 January 10, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2019).

  19. 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 January 10, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2019).

  20. 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 January 10, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2019).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of August 24, 2026. Found during a complaint inspection.

    No plan of correction on record.

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 30, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 10, 2026).

  23. 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.

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

    Health citation F-0656, 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).

  24. 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.

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

    Health citation F-0842, 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).

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

    Have elevators that firefighters can control in the event of a fire.

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

    Fire safety citation K-0531, Services Deficiencies. Inspection of April 24, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 4, 2026).

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.