Autumn Lake Healthcare At Crystal Springs
Inspection Findings
F-Tag F0609
F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Based on record review and staff interview the facility failed to submit a five (5) day followup for a Facility Reported Incident as required. This was true for one (1) of two (2) incidents reviewed during this survey.
Resident Identifier: #5 Facility Census: 76Findings Include:a) Resident #5On 12/29/25 at 3:03 PM record
review of a Facility Reported Incident (FRI) found that the facility did not file a five-day follow-up to the investigation of this incident.On 09/18/25 at 2:30 PM the initial allegation of sexual abuse was reported to
the appropriate facilities (Adult Protective Services, the Ombudsman and the Office of Inspector General).
The facility investigated the allegation which was unverified. The resident was interviewed at the time of the investigation, however, she does not have capacity and reported that the incident happened months ago.
There were twenty (20) additional residents (that have capacity) interviewed with no further allegations reported. The perpetrator and a co-worker were interviewed. On 12/29/25 at 3:30 PM during an interview with Resident #5, she reported to the surveyor that she did not remember anything concerning inappropriate touching. The Administrator attempted to locate the five-day follow-up report but was unable.
On 12/30/25 at 10:10 AM it was confirmed with the Administrator that the facility should have filed a 5-day follow-up report to the appropriate office at which time she agreed.
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 REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
AUTUMN LAKE HEALTHCARE AT CRYSTAL SPRINGS in ELKINS, WV inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 ELKINS, WV, (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 LAKE HEALTHCARE AT CRYSTAL SPRINGS or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.