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 76 to 100 of 100 citations

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of February 3, 2023. Found during a standard inspection.

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

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

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

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of February 3, 2023. Found during a standard inspection.

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

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of February 3, 2023. Found during a standard inspection.

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

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

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

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of February 3, 2023. Found during a standard inspection.

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

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

    Have restrictions on the use of portable space heaters.

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

    Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of February 3, 2023. Found during a standard inspection.

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

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

    Have generator or other power source capable of supplying service within 10 seconds.

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 3, 2023. Found during a standard inspection.

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

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 3, 2023. Found during a standard inspection.

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

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

    Honor the resident's right to organize and participate in resident/family groups in the facility.

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

    Health citation F-0565, Resident Rights Deficiencies. Inspection of November 5, 2018. Found during a standard inspection.

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

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

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

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

    Health citation F-0604, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 5, 2018. Found during a standard inspection.

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

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of November 5, 2018. Found during a standard inspection.

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

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

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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

    Health citation F-0625, Resident Rights Deficiencies. Inspection of November 5, 2018. Found during a standard inspection.

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

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

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

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of November 5, 2018. Found during a standard inspection.

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

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

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

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

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

  17. 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.

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

    Health citation F-0689, 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).

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

    Observe each nurse aide's job performance and give regular training.

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

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of November 5, 2018. Found during a standard inspection.

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

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

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

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

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

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

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

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of November 5, 2018. Found during a standard inspection.

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

  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 November 5, 2018. Found during a standard inspection.

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

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of November 5, 2018. Found during a standard inspection.

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

  25. No harm, with potential for minimal harm

    Ensure the activities program is directed by a qualified professional.

    Widespread (many residents). CMS level C.

    Health citation F-0680, 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).

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.