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 12 of 12 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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 March 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 2, 2025).

  11. 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.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of March 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 2, 2025).

  12. 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 March 17, 2025. Found during a standard inspection.

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