AUTUMN LAKE HEALTHCARE AT SOUTHGATE Nursing Home


AUTUMN LAKE HEALTHCARE AT SOUTHGATE (CCN: 315237) is a For profit - Limited Liability company facility located in CARNEYS POINT, NJ (08069). The facility has an overall rating of 2/5, health inspection rating of 2/5, and a staffing rating of 3/5. It offers 152 certified beds and maintains an average of 120. residents per day. The nursing staff includes Nurse Aides, LPNs, and RNs working 3.41150 total hours per resident per day. It has been certified since August 13, 1986 and the last listed health inspection was on January 17, 2023, The facility is located in Salem county and provides senior and nursing home care.

AUTUMN LAKE HEALTHCARE AT SOUTHGATE Summary


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Provider Name: AUTUMN LAKE HEALTHCARE AT SOUTHGATE

Address: 449 S PENNSVILLE-AUBURN ROAD, CARNEYS POINT, NJ 08069

Phone: (856) 299-8900

County: Salem (340)

Ownership Type: For profit - Limited Liability company

Certified Beds: 152

Average Residents Per Day: 120. ()

Provider Type: Medicare and Medicaid, Resides in Hospital: No

Legal Business Name: M AND B OPERATIONS LLC

First Approved Date: August 13, 1986

Affiliated Entity: AUTUMN LAKE HEALTHCARE (56)

Retirement Community: N, Special Focus Status:

Ownership Change in Last 12 Months: N

Resident Family Council: Resident

Sprinkler System Status: Yes

Overall Rating: 2 ()

Health Inspection Rating: 2 ()

QM Rating: 2 ()

Long Stay QM Rating: 3 ()

Short Stay QM Rating: 2 ()

Staffing Rating: 3 ()

Staffing Report Note:

PT Staffing Note:

Nurse Aide Staff Hours Per Day, per resident: 2.15897, LPN Staff Hours Per Day: 0.9084, RN Staff Hours Per Day: 0.3440, Licensed Staff Hours Per Day: 1.2525

Total Nurse Staff Hours Per Day, per resident: 3.41150

Weekend Nurse Staff Hours: 2.97361, Weekend RN Staff Hours: 0.2724

PT Staff Hours Per Day, per resident: 0.0464

Nurse Staff Turnover: 51.3, Nurse Turnover Note:

RN Turnover: 33.3, RN Turnover Note:

Admin Left Number: 0, Admin Turnover Note:

Case Mix Nurse Aide Hours Per Day, per resident: 1.8989, Case Mix LPN Hours Per Day: 0.7121, Case Mix RN Hours Per Day: 0.3439

Adjusted Nurse Aide Hours Per Day, per resident: 2.31620, Adjusted LPN Hours Per Day: 0.9414, Adjusted RN Hours Per Day: 0.3769

Total Adjusted Nurse Hours Per Day, per resident: 3.63896

Adjusted Weekend Nurse Hours Per Day, per resident: 3.17188

Health Survey Dates and Scores: Cycle 1: 2023-01-17 (Score: 44), Cycle 2: 2020-10-21 (Score: 8), Cycle 3: 2019-05-15 (Score: 20)

Total Weighted Health Score: 28.000

Reported Incidents: 0, Substantiated Complaints: 1

Infection Control Citations: 0

Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0

Location and GPS: 449 S PENNSVILLE-AUBURN ROAD,CARNEYS POINT,NJ,08069 (39.6901, -75.470)

Process Date: 2024-03-01


Health Inspection Citations Details

Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2023-01-17

Type: Health, Deficiency: 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.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-01-24

Citation on 2023-01-17

Type: Health, Deficiency: Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-01-24

Citation on 2023-01-17

Type: Health, Deficiency: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-01-24

Citation on 2023-01-17

Type: Health, Deficiency: Ensure services provided by the nursing facility meet professional standards of quality.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-01-24

Citation on 2023-01-17

Type: Health, Deficiency: Post nurse staffing information every day.

Severity: B - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-01-24

Citation on 2023-01-17

Type: Health, Deficiency: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-01-24

Citation on 2023-01-17

Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-01-24

Citation on 2023-01-17

Type: Health, Deficiency: Provide and implement an infection prevention and control program.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-02-06

Citation on 2020-10-21

Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2020-11-04

Citation on 2021-06-21

Type: Health, Deficiency: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-06-29

Citation on 2021-06-21

Type: Health, Deficiency: Respond appropriately to all alleged violations.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-06-29

Citation on 2021-06-21

Type: Health, Deficiency: Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-07-09

Citation on 2019-05-15

Type: Health, Deficiency: Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Severity: B - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-05-22

Citation on 2019-05-15

Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-05-22


Fire Safety Citations Details

Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2023-01-17

Type: Fire Safety, Tag: 0341, Version: New

Description: Install a fire alarm system that can be heard throughout the facility.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-02-08

Citation on 2023-01-17

Type: Fire Safety, Tag: 0363, Version: New

Description: Install corridor and hallway doors that block smoke.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-02-08

Citation on 2023-01-17

Type: Fire Safety, Tag: 0372, Version: New

Description: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-02-08

Citation on 2023-01-17

Type: Fire Safety, Tag: 0711, Version: New

Description: Provide a written emergency evacuation plan.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-02-08

Citation on 2019-05-15

Type: Fire Safety, Tag: 0923, Version: New

Description: Have proper medical gas storage and administration areas.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-05-22