All citations for Autumn Lake Healthcare at Oak 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 Oak Manor

Last standard health inspection on record

April 7, 2026

Showing 1 to 25 of 55 citations

  1. Immediate jeopardy to resident health or safety

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

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of July 1, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (June 30, 2025).

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of April 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2026).

  3. 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 April 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2026).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2026).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of February 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 22, 2025).

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

    Install corridor and hallway doors that block smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of February 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 22, 2025).

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

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

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

    Health citation F-0569, Resident Rights Deficiencies. Inspection of April 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 25, 2026).

  8. 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 April 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 25, 2026).

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

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

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

    Health citation F-0887, Infection Control Deficiencies. Inspection of April 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 25, 2026).

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of April 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2026).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of April 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2026).

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

    Meet other general requirements that are deficient.

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

    Fire safety citation K-0500, Services Deficiencies. Inspection of April 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2026).

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

    Have restrictions on the use of portable space heaters.

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

    Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of April 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2026).

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

    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

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

    Health citation F-0710, Nursing and Physician Services Deficiencies. Inspection of February 19, 2025. Found during a standard inspection and a complaint inspection.

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

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

    Construct fire resistant interior walls.

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

    Fire safety citation K-0331, Smoke Deficiencies. Inspection of February 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 22, 2025).

  16. 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 October 20, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 4, 2020).

  17. 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 October 20, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 4, 2020).

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

    Meet other general requirements.

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

    Fire safety citation K-0100, Construction Deficiencies. Inspection of October 20, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 4, 2020).

  19. 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.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of October 20, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 4, 2020).

  20. 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 July 23, 2026. Found during a complaint inspection.

    No plan of correction on record.

  21. 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.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of May 29, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 30, 2026).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of May 29, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 30, 2026).

  23. 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 May 29, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 30, 2026).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of April 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 25, 2026).

  25. 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.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 25, 2026).

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.