Autumn Woods Residential Health: Respiratory Care Failures - MI
The respiratory care citation, recorded under regulatory tag F0695, was classified as an isolated deficiency with no documented actual harm. But inspectors determined the potential for more than minimal harm was real.
Respiratory care is among the more consequential services a nursing home provides. Residents who depend on oxygen, nebulizers, suctioning, or ventilator support have little margin for error. A missed treatment, improperly set equipment, or lapse in monitoring can move quickly from a paperwork problem to a medical emergency. The inspection record does not describe which residents were affected or what specific failure inspectors observed. What it establishes is that the care being delivered did not meet the required standard.
Autumn Woods reported correcting the deficiency by September 4, 2025, three weeks after the August 13 inspection.
That correction timeline is not unusual. Facilities routinely submit correction dates alongside their plans of action, and CMS accepts them provisionally. Whether the correction addressed the underlying conditions that produced the citation, or whether it resolved a documentation gap, is not something the public record answers.
The respiratory care finding was one of 13 total deficiencies cited during the same inspection, all falling under the category of Quality of Life and Care. Thirteen citations in a single inspection is a significant count. It suggests inspectors found problems distributed across multiple areas of the facility's operations, not a single isolated breakdown in one department on one shift.
The scope and severity level assigned to the respiratory care citation, a D, means inspectors characterized it as isolated and not yet causing actual harm. That is the lower end of the scale. But the federal severity framework is worth understanding plainly: a D citation is not a clean bill of health. It is a documented finding that something went wrong, or was going wrong, in a way that could hurt someone. The difference between a D and the citations above it is often a matter of timing, or of how quickly a resident deteriorated before anyone noticed.
Autumn Woods Residential Health is a licensed residential health facility in Warren, a city in Macomb County just north of Detroit. The August 13 inspection was a complaint inspection, meaning it was triggered by a complaint rather than a scheduled survey cycle. Complaint inspections tend to be more targeted than routine surveys, focused on the specific concerns that prompted the complaint. Finding 13 deficiencies in that context, rather than a standard comprehensive review, raises questions about what a full survey might uncover.
The facility has not responded publicly to the inspection findings.
For families with relatives at Autumn Woods, the respiratory care citation carries a particular weight. Nursing home residents who require respiratory support are often among the most medically fragile people in the building. They may not be able to advocate for themselves when equipment malfunctions, when a treatment is skipped, or when a staff member is uncertain how to respond to a change in their breathing. The people most dependent on the facility getting this right are the least able to notice when it doesn't.
The inspection report does not name any residents. It does not describe the specific nature of the respiratory care failure. It does not say how many people were exposed to the deficient conditions or for how long. What it records is a conclusion: the care was not safe and appropriate, and someone could have been harmed.
Autumn Woods has until its next inspection to demonstrate that the correction it reported in September holds. The September 4 date it submitted is a promise, not a verification.
Thirteen deficiencies. One of them involving the air that residents breathe.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Autumn Woods Residential Health from 2025-08-13 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Corrections: We strive for accuracy in everything we publish. If you believe any fact in this article is incorrect, please contact us with details, and we will review and correct it promptly.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: October 25, 2026 · Our methodology
Autumn Woods Residential Health in Warren, MI was cited for violations during a health inspection on August 13, 2025.
The respiratory care citation, recorded under regulatory tag F0695, was classified as an isolated deficiency with no documented actual harm.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.