All citations for Nella's at Autumn Lake Healthcare

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 Nella's at Autumn Lake Healthcare

Last standard health inspection on record

August 5, 2025

Showing 1 to 25 of 49 citations

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.
Widespread (many residents). CMS level L.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 6, 2025).
No harm, with potential for more than minimal harm
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Widespread (many residents). CMS level F.
Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of December 30, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (January 20, 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.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of December 30, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (January 20, 2026).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Widespread (many residents). CMS level F.
Health citation F-0880, Infection Control Deficiencies. Inspection of December 30, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (January 20, 2026).
No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of August 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 9, 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 November 8, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 26, 2023).
No harm, with potential for more than minimal harm
Have proper medical gas storage and administration areas.
Widespread (many residents). CMS level F.
Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 8, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 26, 2023).
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 December 30, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (January 20, 2026).
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 August 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 2, 2025).
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of August 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 2, 2025).
No harm, with potential for more than minimal harm
Provide activities to meet all resident's needs.
Pattern (more than a few residents). CMS level E.
Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of August 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 2, 2025).
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 August 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 2, 2025).
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of August 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 2, 2025).
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 August 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 9, 2025).
No harm, with potential for more than minimal harm
Have restrictions on the use of portable space heaters.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of August 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 9, 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 July 4, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (August 27, 2024).
No harm, with potential for more than minimal harm
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Pattern (more than a few residents). CMS level E.
Health citation F-0585, Resident Rights Deficiencies. Inspection of November 8, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 8, 2023).
No harm, with potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Pattern (more than a few residents). CMS level E.
Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 8, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 8, 2023).
No harm, with potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Pattern (more than a few residents). CMS level E.
Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of November 8, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 8, 2023).
No harm, with potential for more than minimal harm
Provide safe, appropriate pain management for a resident who requires such services.
Pattern (more than a few residents). CMS level E.
Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of November 8, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 8, 2023).
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 November 8, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 8, 2023).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0291, Egress Deficiencies. Inspection of November 8, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 26, 2023).
No harm, with potential for more than minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0521, Services Deficiencies. Inspection of November 8, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 26, 2023).
No harm, with potential for more than minimal harm
Ensure that testing and maintenance of electrical equipment is performed.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 8, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 26, 2023).
No harm, with potential for more than minimal harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Pattern (more than a few residents). CMS level E.
Health citation F-0561, Resident Rights Deficiencies. Inspection of June 2, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (June 28, 2021).

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.