Autumn Lake Healthcare At Birch Manor

Inspection history (85)

• August 3, 2018 · E

  Citation F0881

  Federal surveyors cited this nursing home on 2018-08-03 under CMS tag F0881 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Implement a program that monitors antibiotic use. The deficiency was recorded as corrected on 2018-10-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2018-08-03.GOV

• August 3, 2018 · D

  Citation F0610

  Federal surveyors cited this nursing home on 2018-08-03 under CMS tag F0610 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2018-10-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2018-08-03.GOV

• August 3, 2018 · D

  Citation F0624

  Federal surveyors cited this nursing home on 2018-08-03 under CMS tag F0624 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Prepare residents for a safe transfer or discharge from the nursing home. The deficiency was recorded as corrected on 2018-10-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2018-08-03.GOV

• August 3, 2018 · F

  Citation F0655

  Federal surveyors cited this nursing home on 2018-08-03 under CMS tag F0655 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted. The deficiency was recorded as corrected on 2018-10-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2018-08-03.GOV

• August 3, 2018 · D

  Citation F0690

  Federal surveyors cited this nursing home on 2018-08-03 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2018-10-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2018-08-03.GOV

• August 3, 2018 · D

  Citation F0711

  Federal surveyors cited this nursing home on 2018-08-03 under CMS tag F0711 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. The deficiency was recorded as corrected on 2018-10-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2018-08-03.GOV

• August 3, 2018 · E

  Citation F0584

  Federal surveyors cited this nursing home on 2018-08-03 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2018-10-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2018-08-03.GOV

• August 3, 2018 · D

  Citation F0553

  Federal surveyors cited this nursing home on 2018-08-03 under CMS tag F0553 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Allow resident to participate in the development and implementation of his or her person-centered plan of care. The deficiency was recorded as corrected on 2018-10-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2018-08-03.GOV

• August 3, 2018 · D

  Citation F0568

  Federal surveyors cited this nursing home on 2018-08-03 under CMS tag F0568 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. The deficiency was recorded as corrected on 2018-10-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2018-08-03.GOV

• August 3, 2018 · D

  Citation F0640

  Federal surveyors cited this nursing home on 2018-08-03 under CMS tag F0640 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. The deficiency was recorded as corrected on 2018-10-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2018-08-03.GOV

• August 3, 2018 · D

  Citation F0688

  Federal surveyors cited this nursing home on 2018-08-03 under CMS tag F0688 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. The deficiency was recorded as corrected on 2018-10-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2018-08-03.GOV

• August 3, 2018 · D

  Citation F0623

  Federal surveyors cited this nursing home on 2018-08-03 under CMS tag F0623 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2018-10-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2018-08-03.GOV

• August 3, 2018 · D

  Citation F0679

  Federal surveyors cited this nursing home on 2018-08-03 under CMS tag F0679 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide activities to meet all resident's needs. The deficiency was recorded as corrected on 2018-10-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2018-08-03.GOV

• August 3, 2018 · D

  Citation F0756

  Federal surveyors cited this nursing home on 2018-08-03 under CMS tag F0756 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. The deficiency was recorded as corrected on 2018-10-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2018-08-03.GOV

• August 3, 2018 · E

  Citation F0868

  Federal surveyors cited this nursing home on 2018-08-03 under CMS tag F0868 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Have the Quality Assessment and Assurance group have the required members and meet at least quarterly. The deficiency was recorded as corrected on 2018-10-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2018-08-03.GOV

• August 3, 2018 · F

  Citation F0657

  Federal surveyors cited this nursing home on 2018-08-03 under CMS tag F0657 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2018-10-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2018-08-03.GOV

• August 3, 2018 · C

  Citation F0732

  Federal surveyors cited this nursing home on 2018-08-03 under CMS tag F0732 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Post nurse staffing information every day. The deficiency was recorded as corrected on 2018-10-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2018-08-03.GOV

• August 3, 2018 · E

  Citation F0684

  Federal surveyors cited this nursing home on 2018-08-03 under CMS tag F0684 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2018-10-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2018-08-03.GOV

• August 3, 2018 · E

  Citation F0761

  Federal surveyors cited this nursing home on 2018-08-03 under CMS tag F0761 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2018-10-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2018-08-03.GOV

• August 3, 2018 · D

  Citation F0919

  Federal surveyors cited this nursing home on 2018-08-03 under CMS tag F0919 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Make sure that a working call system is available in each resident's bathroom and bathing area. The deficiency was recorded as corrected on 2018-10-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2018-08-03.GOV

Penalties

Total fines on file: $0

Staffing

Latest: 3.46 nurse staffing hours per resident per day (2026-06-01)

Ownership

For profit - Limited Liability company

1. Parent organization: 7309 Second Avenue Holdco LLC

   parent · PAC 8628597341