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 26 to 50 of 100 citations

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

    The home gave a date the problem would be corrected (May 2, 2023).

  2. 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 November 5, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2018).

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

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of November 5, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2018).

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

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

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

    Health citation F-0809, Nutrition and Dietary Deficiencies. Inspection of November 5, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2018).

  5. 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 November 5, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2018).

  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.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of August 6, 2025. Found during a standard inspection.

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

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

    Honor the resident's right to manage his or her financial affairs.

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

    Health citation F-0567, Resident Rights Deficiencies. Inspection of August 6, 2025. Found during a standard inspection.

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

  8. 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 August 6, 2025. Found during a standard inspection.

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

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

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

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

    Health citation F-0628, Resident Rights Deficiencies. Inspection of August 6, 2025. Found during a standard inspection.

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

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of August 6, 2025. Found during a standard inspection.

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

  11. 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 August 6, 2025. Found during a standard inspection.

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

  12. 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 August 6, 2025. Found during a standard inspection.

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

  13. 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 August 6, 2025. Found during a standard inspection.

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

  14. 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.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of August 6, 2025. Found during a standard inspection.

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

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

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

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of August 6, 2025. Found during a standard inspection.

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

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of August 6, 2025. Found during a standard inspection.

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

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of August 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2025).

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

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

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

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of August 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2025).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of August 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2025).

  20. 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).

  21. 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).

  22. 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).

  23. 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).

  24. 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).

  25. 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).

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.