All citations for Autumn Lake Healthcare at Spa Creek

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 Spa Creek

Last standard health inspection on record

August 6, 2025

Showing 1 to 25 of 34 citations

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

    Keep all essential equipment working safely.

    Widespread (many residents). CMS level F.

    Health citation F-0908, Environmental Deficiencies. Inspection of August 6, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 4, 2025).

  2. 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 June 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 10, 2025).

  3. 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 June 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 10, 2025).

  4. 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 June 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 10, 2025).

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

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

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

    Health citation F-0925, Environmental Deficiencies. Inspection of June 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 10, 2025).

  6. 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 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2023).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of February 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2023).

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

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

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

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of February 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2023).

  9. 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 February 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2023).

  10. 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 June 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 10, 2025).

  11. 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 June 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 10, 2025).

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of June 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 10, 2025).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of June 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 10, 2025).

  14. 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 June 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 10, 2025).

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

    Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

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

    Health citation F-0840, Administration Deficiencies. Inspection of June 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 10, 2025).

  16. 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 June 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 10, 2025).

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

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

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

    Health citation F-0559, Resident Rights Deficiencies. Inspection of February 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2023).

  18. 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 February 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2023).

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

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2023).

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

    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

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

    Health citation F-0603, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2023).

  21. 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 February 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2023).

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

    Assure that each resident’s assessment is updated at least once every 3 months.

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

    Health citation F-0638, Resident Assessment and Care Planning Deficiencies. Inspection of February 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2023).

  23. 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.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of February 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2023).

  24. 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.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of February 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2023).

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

    Provide activities to meet all resident's needs.

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

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of February 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 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.