Autumn Woods Residential Health
Autumn Woods Residential Health in Warren, MI — inspection on May 27, 2026.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of R806's most recent Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 14, indicating intact cognition.A review of R806's medication orders revealed the following:Hydralazine 25 milligrams (mg)- give 2 tablets by mouth every 8 hours, with administration times of 0500 (5:00AM), 1300 (1:00PM), and 2100 (9:00PM).Acetaminophen 325mg- give 2 tablets by mouth every 6 hours, with administration times of 0000 (12:00AM), 0600 (6:00AM), 1200 (12:00PM), 1800 (6:00PM).On 5/27/2026 at 3:04PM, an interview was conducted with Licensed Practical Nurse (LPN) B. LPN B admitted they did leave the medications sitting on R806's table without making sure they were taken by the resident saying, medications should not be left at a resident's bedside, and if a resident is sleeping during the time of administration the medicine should be brought back to the medication cart.On 5/27/2026 at 3:34PM, an interview was conducted with the Director of Nursing (DON).
The DON confirmed medications should not be left at a resident's bedside if they do not have an order for self-administration of medications.Further review of the active orders and assessments in R806's EMR did not reveal an order or assessment for self-administration of medications.A facility policy titled Medication- Resident Self-Administration of last reviewed/revised 1/30/2024 revealed that .A resident may only self-administer medications after the facility's interdisciplinary team has determined which medications may be self-administered safely.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
Frequently Asked Questions
More Reports
Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.