Autumn Lake Healthcare At Spa Creek

Inspection history (73)

• February 3, 2023 · E

  Citation F0641

  Federal surveyors cited this nursing home on 2023-02-03 under CMS tag F0641 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2023-04-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-02-03.GOV

• February 3, 2023 · D

  Citation F0677

  Federal surveyors cited this nursing home on 2023-02-03 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2023-04-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-02-03.GOV

• February 3, 2023 · D

  Citation F0692

  Federal surveyors cited this nursing home on 2023-02-03 under CMS tag F0692 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide enough food/fluids to maintain a resident's health. The deficiency was recorded as corrected on 2023-04-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-02-03.GOV

• February 3, 2023 · D

  Citation F0600

  Federal surveyors cited this nursing home on 2023-02-03 under CMS tag F0600 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2023-04-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-02-03.GOV

• February 3, 2023 · D

  Citation F0679

  Federal surveyors cited this nursing home on 2023-02-03 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 2023-04-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-02-03.GOV

• February 3, 2023 · D

  Citation F0842

  Federal surveyors cited this nursing home on 2023-02-03 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2023-04-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-02-03.GOV

• February 3, 2023 · D

  Citation F0603

  Federal surveyors cited this nursing home on 2023-02-03 under CMS tag F0603 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). The deficiency was recorded as corrected on 2023-04-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-02-03.GOV

• February 3, 2023 · D

  Citation F0638

  Federal surveyors cited this nursing home on 2023-02-03 under CMS tag F0638 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Assure that each resident’s assessment is updated at least once every 3 months. The deficiency was recorded as corrected on 2023-04-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-02-03.GOV

• February 3, 2023 · D

  Citation F0684

  Federal surveyors cited this nursing home on 2023-02-03 under CMS tag F0684 (CMS scope/severity D: isolated, 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 2023-04-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-02-03.GOV

• February 3, 2023 · E

  Citation F0636

  Federal surveyors cited this nursing home on 2023-02-03 under CMS tag F0636 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. The deficiency was recorded as corrected on 2023-04-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-02-03.GOV

• February 3, 2023 · D

  Citation F0761

  Federal surveyors cited this nursing home on 2023-02-03 under CMS tag F0761 (CMS scope/severity D: isolated, 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 2023-04-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-02-03.GOV

• February 3, 2023 · D

  Citation F0657

  Federal surveyors cited this nursing home on 2023-02-03 under CMS tag F0657 (CMS scope/severity D: isolated, 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 2023-04-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-02-03.GOV

• November 5, 2018 · D

  Citation F0625

  Federal surveyors cited this nursing home on 2018-11-05 under CMS tag F0625 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. The deficiency was recorded as corrected on 2018-12-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2018-11-05.GOV

• November 5, 2018 · D

  Citation F0657

  Federal surveyors cited this nursing home on 2018-11-05 under CMS tag F0657 (CMS scope/severity D: isolated, 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 2018-12-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2018-11-05.GOV

• November 5, 2018 · D

  Citation F0655

  Federal surveyors cited this nursing home on 2018-11-05 under CMS tag F0655 (CMS scope/severity D: isolated, 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 2018-12-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2018-11-05.GOV

• November 5, 2018 · D

  Citation F0730

  Federal surveyors cited this nursing home on 2018-11-05 under CMS tag F0730 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Observe each nurse aide's job performance and give regular training. The deficiency was recorded as corrected on 2018-12-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2018-11-05.GOV

• November 5, 2018 · D

  Citation F0842

  Federal surveyors cited this nursing home on 2018-11-05 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2018-12-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2018-11-05.GOV

• November 5, 2018 · E

  Citation F0809

  Federal surveyors cited this nursing home on 2018-11-05 under CMS tag F0809 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2018-12-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2018-11-05.GOV

• November 5, 2018 · E

  Citation F0684

  Federal surveyors cited this nursing home on 2018-11-05 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 2018-12-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2018-11-05.GOV

• November 5, 2018 · D

  Citation F0759

  Federal surveyors cited this nursing home on 2018-11-05 under CMS tag F0759 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2018-12-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2018-11-05.GOV

Penalties

Total fines on file: $0

Staffing

Latest: 3.59 nurse staffing hours per resident per day (2026-06-01)

Ownership

For profit - Limited Liability company

1. Parent organization: 35 Milkshake Holdco LLC

   parent · PAC 8527467331