Autumn Woods Residential Health: Screening Failures - MI
Federal health inspectors cited the facility on August 13 for failing to complete PASARR screenings — the Preadmission Screening and Resident Review process that identifies residents with mental disorders or intellectual disabilities and determines whether a nursing home is the right placement for them and what specialized services they require. The deficiency was one of 13 cited during the inspection.
The failure was classified as isolated, with no documented actual harm. But inspectors noted the potential for more than minimal harm was real.
That distinction matters more than it might sound. PASARR exists precisely because residents with serious mental illness or intellectual disabilities are among the most vulnerable people in any nursing home. Without a completed screening, a facility may not know a resident needs psychiatric services, behavioral support, or a different level of care entirely. The gap between what a resident needs and what staff know to provide can be invisible for months.
Autumn Woods reported the problem corrected as of September 4, three weeks after inspectors left.
The other 12 deficiencies cited during the same inspection were not detailed in the materials reviewed for this report. Thirteen citations in a single inspection is a significant number for any facility. Whether any of those other findings touched the same residents affected by the screening lapse is not known.
PASARR screening is not a new or obscure requirement. It has been federal law since 1987, written into Medicaid rules after Congress found that people with mental illness and intellectual disabilities were being warehoused in nursing homes without appropriate evaluation or treatment. The screening is meant to be a checkpoint, a moment where someone asks: does this person belong here, and does this facility have what they need?
When that checkpoint is skipped, the resident on the other side of it has no way of knowing. They are already admitted. They are already in a room, eating in a dining hall, receiving whatever care the facility has decided to provide, with no formal determination on record about whether that care fits their actual condition.
Inspectors did not specify in the cited deficiency how many residents were affected, how long screenings had been missing, or what, if anything, happened to those residents in the interim. The scope designation of isolated suggests the problem was not facility-wide, but the inspection report does not say more than that.
Autumn Woods Residential Health is a licensed residential health facility in Warren, a city of roughly 140,000 people in Macomb County, just north of Detroit. The August inspection was a complaint inspection, meaning it was triggered by a complaint rather than being a routine survey cycle visit.
A complaint inspection finding 13 deficiencies, including a failure in the foundational screening process meant to protect the facility's most vulnerable residents, raises questions the inspection report itself does not answer. Who filed the complaint? What were they concerned about? Were any of the 13 deficiencies connected to whatever prompted the visit in the first place?
Those answers are not in the record reviewed here.
What is in the record is this: sometime before August 13, at least one resident of Autumn Woods, a person with a mental disorder or an intellectual disability, or both, was living in that facility without a completed PASARR screening. The process designed to ensure they were in the right place, receiving the right care, had not been done.
The facility says it fixed that by September 4.
Whether the residents who fell through that gap received any different care as a result of the correction, whether anyone went back and reviewed what they had been missing, whether the screening results changed anything about how they were treated, none of that is recorded in what inspectors cited or what the facility reported back.
The screening was completed. The box, presumably, is now checked. The residents are still there.
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 21, 2026 · Our methodology
Autumn Woods Residential Health in Warren, MI was cited for violations during a health inspection on August 13, 2025.
The deficiency was one of 13 cited during the inspection.
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.