All citations for Autumn Lake Healthcare at Waugh Chapel

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 Waugh Chapel

Last standard health inspection on record

May 6, 2026

Showing 1 to 25 of 51 citations

No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Widespread (many residents). CMS level F.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of May 6, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (July 7, 2026).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of May 6, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (July 7, 2026).
No harm, with potential for more than minimal harm
Conduct testing and exercise requirements.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of March 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 2, 2025).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Widespread (many residents). CMS level F.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of March 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 2, 2025).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of March 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 2, 2025).
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 March 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 2, 2025).
No harm, with potential for more than minimal harm
Enure that solid fuel-burning fireplaces are not in patient sleeping areas.
Widespread (many residents). CMS level F.
Fire safety citation K-0525, Services Deficiencies. Inspection of March 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 2, 2025).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of March 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 2, 2025).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of March 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 2, 2025).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 2, 2025).
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 30, 2026. Found during a complaint inspection.
The home gave a date the problem would be corrected (July 28, 2026).
No harm, with potential for more than minimal harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Pattern (more than a few residents). CMS level E.
Health citation F-0919, Environmental Deficiencies. Inspection of May 6, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 16, 2026).
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 May 6, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (July 7, 2026).
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 March 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 23, 2025).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 2, 2025).
No harm, with potential for more than minimal harm
Respond appropriately to all alleged violations.
Pattern (more than a few residents). CMS level E.
Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 3, 2020. Found during a standard inspection.
The home gave a date the problem would be corrected (March 7, 2020).
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 February 3, 2020. Found during a standard inspection.
The home gave a date the problem would be corrected (March 7, 2020).
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 February 3, 2020. Found during a standard inspection.
The home gave a date the problem would be corrected (March 7, 2020).
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 February 3, 2020. Found during a standard inspection.
The home gave a date the problem would be corrected (March 7, 2020).
No harm, with potential for more than minimal harm
Provide rooms that can be unlocked from inside without a key.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0221, Egress Deficiencies. Inspection of February 3, 2020. Found during a standard inspection.
The home gave a date the problem would be corrected (August 27, 2020).
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 June 30, 2026. Found during a complaint inspection.
The home gave a date the problem would be corrected (July 28, 2026).
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 6, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 16, 2026).
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 May 6, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 16, 2026).
No harm, with potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
Isolated (one or a few residents). CMS level D.
Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of May 6, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 16, 2026).
No harm, with potential for more than minimal harm
Post nurse staffing information every day.
Isolated (one or a few residents). CMS level D.
Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of May 6, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 16, 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.