AUTUMN LAKE HEALTHCARE AT WEST HARTFORD
AUTUMN LAKE HEALTHCARE AT WEST HARTFORD is a 75-bed nursing home in WEST HARTFORD, Connecticut. CMS has certified it for Medicare and Medicaid since 1995-11-03. It averages 67.4 residents a day.
What harm was found in the violations cited at AUTUMN LAKE HEALTHCARE AT WEST HARTFORD?
CMS lists 70 health-inspection deficiencies for AUTUMN LAKE HEALTHCARE AT WEST HARTFORD since 2021-10-13, 54 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-05-11.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-11 | F0761 | 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. | F |
| 2026-05-11 | F0684, F0755, F0760 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure that residents are free from significant medication errors. | D |
| 2025-11-18 | F0550, F0554, F0561, F0580, F0607, F0645, F0657, F0677, F0684, F0686, F0698, F0791, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Allow residents to self-administer drugs if determined clinically appropriate. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide or obtain dental services for each resident. / Provide and implement an infection prevention and control program. | D |
| 2025-08-05 | F0684, F0725 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D |
| 2025-02-14 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2024-12-31 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2024-09-19 | F0580, F0842 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-02-06 | F0656, F0657, F0658, F0804, F0812, F0880, F0943, F0947 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E |
| 2024-02-06 | F0636, F0641, F0644, F0660, F0684, F0686, F0689, F0695, F0698, F0759, F0761, F0809, F0842, F0919 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Ensure each resident receives an accurate assessment. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Plan the resident's discharge to meet the resident's goals and needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure medication error rates are not 5 percent or greater. / 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. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2024-02-06 | F0585 | 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. | C |
| 2023-09-14 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J |
| 2023-09-14 | F0578, F0658, F0684, F0695, F0730, F0835 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / Observe each nurse aide's job performance and give regular training. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D |
| 2023-09-14 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B |
| 2021-10-13 | F0684, F0686, F0880 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide and implement an infection prevention and control program. | E |
| 2021-10-13 | F0557, F0580, F0600, F0609, F0610, F0656, F0657, F0658, F0678, F0756, F0758, F0943 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D |
| 2021-10-13 | F0585 | 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. | B |
Why was AUTUMN LAKE HEALTHCARE AT WEST HARTFORD fined?
| Date | Type | Amount |
|---|---|---|
| 2023-09-14 | Fine | $24,453 |
How is AUTUMN LAKE HEALTHCARE AT WEST HARTFORD staffed?
| Measure | This facility | CT average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.07900 | 3.73452 |
| Total nursing staff turnover (%) | 41.6 | 37.4 |
| Average number of residents per day | 67.4 | 103.1 |
Who owns AUTUMN LAKE HEALTHCARE AT WEST HARTFORD, and what chain is it in?
AUTUMN LAKE HEALTHCARE AT WEST HARTFORD is registered with CMS as For profit - Corporation, operates under the legal business name 1 EMILY WAY OPCO LLC and belongs to the AUTUMN LAKE HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | KC DERBY CT AL OPCO JV LLC | since 11/28/2023 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | AUT CT7 HOLDINGS LLC | since 11/28/2023 |
| CORPORATE OFFICER | SCHWARTZ, MARK | since 11/28/2023 |
| OPERATIONAL/MANAGERIAL CONTROL | ACCURATE STAFFING LLC, BRAND SONNENSCHINE LLP, ALTIUS, CHRISTAL, KARANIAN, PHILIP, SCHWARTZ, MARK | since 11/28/2023 |
| ADP OF THE SNF | ACCURATE STAFFING LLC, BRAND SONNENSCHINE LLP, ALTIUS, CHRISTAL, KARANIAN, PHILIP | since 03/28/2025 |
Were you or a family member harmed at AUTUMN LAKE HEALTHCARE AT WEST HARTFORD?