Autumn Lake Healthcare At The Willows

Inspection history (25)

• November 14, 2025 · D

  Citation F0686

  Federal surveyors cited this nursing home on 2025-11-14 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2025-11-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-11-14.GOV

• November 14, 2025 · D

  Citation F0791

  Federal surveyors cited this nursing home on 2025-11-14 under CMS tag F0791 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide or obtain dental services for each resident. The deficiency was recorded as corrected on 2025-11-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-11-14.GOV

• November 14, 2025 · E

  Citation F0883

  Federal surveyors cited this nursing home on 2025-11-14 under CMS tag F0883 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures for flu and pneumonia vaccinations. The deficiency was recorded as corrected on 2025-11-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-11-14.GOV

• November 14, 2025 · E

  Citation F0761

  Federal surveyors cited this nursing home on 2025-11-14 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 2025-11-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-11-14.GOV

• November 14, 2025 · D

  Citation F0698

  Federal surveyors cited this nursing home on 2025-11-14 under CMS tag F0698 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe, appropriate dialysis care/services for a resident who requires such services. The deficiency was recorded as corrected on 2025-11-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-11-14.GOV

• November 14, 2025 · D

  Citation F0804

  Federal surveyors cited this nursing home on 2025-11-14 under CMS tag F0804 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. The deficiency was recorded as corrected on 2025-11-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-11-14.GOV

• November 14, 2025 · D

  Citation F0693

  Federal surveyors cited this nursing home on 2025-11-14 under CMS tag F0693 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. The deficiency was recorded as corrected on 2025-11-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-11-14.GOV

• August 13, 2024 · D

  Citation F0684

  Federal surveyors cited this nursing home on 2024-08-13 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 2024-09-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-13.GOV

• August 13, 2024 · D

  Citation F0677

  Federal surveyors cited this nursing home on 2024-08-13 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 2024-09-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-13.GOV

• April 12, 2024 · D

  Citation F0550

  Federal surveyors cited this nursing home on 2024-04-12 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2024-05-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-12.GOV

• April 12, 2024 · D

  Citation F0684

  Federal surveyors cited this nursing home on 2024-04-12 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 2024-05-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-12.GOV

• January 10, 2024 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2024-01-10 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-02-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-10.GOV

• January 10, 2024 · B

  Citation F0568

  Federal surveyors cited this nursing home on 2024-01-10 under CMS tag F0568 (CMS scope/severity B: pattern, no actual harm, potential for 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 2024-02-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-10.GOV

• January 10, 2024 · D

  Citation F0685

  Federal surveyors cited this nursing home on 2024-01-10 under CMS tag F0685 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Assist a resident in gaining access to vision and hearing services. The deficiency was recorded as corrected on 2024-02-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-10.GOV

• January 10, 2024 · D

  Citation F0657

  Federal surveyors cited this nursing home on 2024-01-10 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 2024-02-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-10.GOV

• January 10, 2024 · E

  Citation F0804

  Federal surveyors cited this nursing home on 2024-01-10 under CMS tag F0804 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. The deficiency was recorded as corrected on 2024-02-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-10.GOV

• January 10, 2024 · D

  Citation F0761

  Federal surveyors cited this nursing home on 2024-01-10 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 2024-02-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-10.GOV

• January 10, 2024 · D

  Citation F0580

  Federal surveyors cited this nursing home on 2024-01-10 under CMS tag F0580 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2024-02-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-10.GOV

• January 10, 2024 · D

  Citation F0686

  Federal surveyors cited this nursing home on 2024-01-10 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2024-02-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-10.GOV

• January 10, 2024 · B

  Citation F0803

  Federal surveyors cited this nursing home on 2024-01-10 under CMS tag F0803 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. The deficiency was recorded as corrected on 2024-02-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-10.GOV

Penalties

Total fines on file: $0

Staffing

Latest: 3.66 nurse staffing hours per resident per day (2026-06-01)

Ownership

For profit - Limited Liability company

1. Parent organization: Kc Derby Ct Al Opco Jv LLC

   parent · PAC 8820440860