All citations for Autumn Leaves Nursing and Rehab Inc

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 Leaves Nursing and Rehab Inc

Last standard health inspection on record

May 7, 2026

Showing 1 to 25 of 50 citations

  1. Immediate jeopardy to resident health or safety

    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 J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of June 24, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (March 27, 2025).

  2. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 5, 2026).

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

    Install corridor and hallway doors that block smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2025).

  4. 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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 5, 2026).

  5. 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.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 5, 2026).

  6. 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 May 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 5, 2026).

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

    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

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

    Fire safety citation K-0342, Smoke Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2026).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2026).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2026).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2026).

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of November 18, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 20, 2025).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of March 19, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 15, 2025).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2025).

  14. 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.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2025).

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2025).

  16. 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.

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

    Health citation F-0921, Environmental Deficiencies. Inspection of March 19, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 15, 2025).

  17. 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 March 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2025).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2025).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2025).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of June 27, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 12, 2024).

  21. 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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of January 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 26, 2024).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of January 31, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 26, 2024).

  23. 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 January 31, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 26, 2024).

  24. 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 7, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 5, 2026).

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

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

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

    Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 5, 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.