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Complaint Investigation

Autumn Care Of Marion

March 26, 2026 · Marion, NC · 1264 Airport Road
Citations 2
CMS Rating 3/5
Beds 110
Provider ID 345165
Healthcare Facility
Autumn Care Of Marion
Marion, NC  ·  View full profile →
Inspection Summary

Autumn Care of Marion in Marion, NC — inspection on March 26, 2026.

Found 2 citations. 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.

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Inspection Findings

FF0689
Quality of Life and Care Deficiencies

During the interview, Resident #1 verbalized a desire to go home to care for her son.

The Administrator reassured Resident #1 that her son is cared for by a full-time caregiver.The Director of Rehabilitation Services completed a Brief Interview for Mental Status (BIMS) assessment on 3/2/2026, with a score of 8/15 (a score of 8 indicates moderate cognitive impairment). Resident #1's nurse completed an elopement risk assessment on 3/2/2026, and Resident #1 was identified as high risk for elopement. At the time of[TRUNCATED]

345165 03/26/2026

Autumn Care of Marion 1264 Airport Road Marion, NC 28752

in accordance with accepted professional standards.

accurate medical record when staff documented a resident attempted elopement and was intercepted

findings included:A review of a progress note dated 3/2/26 written at 10:30 AM by the Director of Nursing (DON) indicated that Resident #1 attempted elopement and was intercepted.

The DON indicated in the note that reorientation was attempted to her situation without success.An interview with the DON on 3/24/2026 at 2:58 PM revealed on the morning of 3/2/2026 management staff were in the morning meeting a visitor came into the conference room telling them a resident was outside.

He reported that the staff in the morning meeting immediately left the conference room to locate the resident. He reported that when they found Resident #1 she was on the road just past the gravel parking lot. He stated Resident #1's mentation was altered, she was what I would describe as manic.

He reported that it was difficult to make the resident understand the danger she was in on the road and why she needed to return to the facility.

The DON reported Resident #1 was difficult to convince to come back to the facility, as she kept attempting to propel herself via wheelchair further up the hill on the road stating she needed to go take care of her son. He indicated they were able to get Resident #1 back to the facility.

The DON was unable to explain why he wrote in the progress note that Resident #1 attempted elopement and was intercepted by staff.

The DON reported that Resident #1 did elope and was found down the road below the gravel parking lot.An interview with the Administrator on 3/24/26 at 3:20 PM revealed that on 3/2/26 the morning meeting was being held in the conference room and the meeting was about over when a visitor came into the room to let staff know that a resident was in the road.

The Administrator reported that she and the staff were able to catch up to Resident #1 and that she was across the road from the facility, just past the gravel parking lot, sitting in her wheelchair in the road.

The Administrator reported that Resident #1 went out the side door of the facility.

The Administrator reported she was not sure why all staff did not know that Resident #1 had actually got out of the building and she would need to speak to the DON about his progress note on 3/2/26 that indicated the elopement was attempted as she was unsure why the DON would have written that.

The Administrator stated she expected all information entered into a resident's medical record to be accurate.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Marion, NC, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Autumn Care of Marion or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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