All citations for Autumn Lake Healthcare at Southgate

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 Southgate

Last standard health inspection on record

February 26, 2025

Showing 1 to 13 of 13 citations

  1. 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 January 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2023).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of January 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2023).

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

    Provide a written emergency evacuation plan.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of January 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2023).

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

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

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of January 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 24, 2023).

  5. 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 January 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 24, 2023).

  6. 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 January 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 24, 2023).

  7. 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 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 6, 2023).

  8. 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 January 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2023).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of May 22, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 16, 2025).

  10. 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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of January 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 24, 2023).

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

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 24, 2023).

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

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of January 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 24, 2023).

  13. No harm, with potential for minimal harm

    Post nurse staffing information every day.

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

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of January 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 24, 2023).

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.