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Complaint Investigation

Autumn Care Of Waynesville

September 9, 2025 · Waynesville, NC · 360 Old Balsam Road
Citations 1
CMS Rating 1/5
Beds 90
Provider ID 345110
Healthcare Facility
Autumn Care Of Waynesville
Waynesville, NC  ·  View full profile →
Inspection Summary

Autumn Care of Waynesville in Waynesville, NC — inspection on September 9, 2025.

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.

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Inspection Findings

FF0880
Infection Control Deficiencies
Potential for More Than Minimal Harm

Review of Resident #3's 5-day Minimum Data Set, dated [DATE] revealed he had an unstageable pressure injury. An observation was conducted on 9/09/25 at 10:38 AM while Resident #3 received wound care to his left heel.

Nurse #1 was observed to enter Resident #3's room without a gown.

Nurse #3 performed hand hygiene and donned gloves.

She removed the soiled dressing, removed her gloves and performed hand hygiene.

She donned gloves and washed and dried the wound and removed her gloves.

She performed hand hygiene, donned gloves, applied skin prep, applied clean gauze, covered wound with pad and clean gauze which was secured with tape.

She removed her gloves and performed hand hygiene.

She did not wear a gown during the process. An interview on 9/09/25 at 10:50 AM with Nurse #1 revealed she had forgotten to wear her gown during wound care.

She stated she had received infection prevention education on EBP and knew she was supposed to follow EPB during wound care, but her nerves had gotten the better of her. An interview on 9/09/25 at 12:05 PM with the Director of Nursing and the Administrator revealed Nurse #1 had received Infection Prevention training and should have worn a gown during wound care.

They stated Nurse #1 was nervous and had made a human mistake.

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.

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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 Waynesville, 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 Waynesville or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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