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 15 of 15 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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 May 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2026).

  12. 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 May 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2026).

  13. 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 May 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2026).

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

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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

    Health citation F-0921, 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).

  15. 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 November 19, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 30, 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.