Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Autumn Woods Health Campus during CMS and state inspections, most recent first.
Glucometers were not cleaned per manufacturer guidelines after blood sugar checks for three residents. An LPN wrapped a glucometer in a bleach wipe without first wiping it down, another LPN wiped a glucometer for only seconds before letting it dry, and an RN also wiped a glucometer for only seconds before placing it in a drawer to dry. The DON stated staff should follow the manufacturer’s cleaning directions, which required wiping the entire meter and keeping it wet for the 2-minute contact time.
Indwelling Catheter Drainage System Left on Floor: A resident with CKD and a UTI had an indwelling urinary catheter, but staff observed the catheter tubing and drainage bag on the floor on multiple occasions. An LPN also lifted the bag above the level of the bladder while repositioning it, and staff interviews confirmed the bag and tubing should not touch the floor.
Two residents with dementia and behavioral disturbances exhibited repeated aggressive and resistive behaviors, including physical aggression toward staff and other residents, but their care plans did not reflect or address these documented behaviors as required by facility guidelines.
Multiple residents with cognitive and mobility impairments experienced falls or unsafe transfers due to staff not following care plan interventions, such as using wheelchair foot pedals and mechanical lifts. In several cases, residents were left unattended or transported without required safety equipment, resulting in falls and injuries. Staff interviews and documentation confirmed that prescribed fall prevention measures were not consistently implemented.
A resident with multiple cardiac and respiratory diagnoses developed increased lower extremity edema, pain, and shortness of breath. Despite these significant changes, there was no documentation that the physician was notified in a timely manner, as confirmed by staff interviews and facility policy.
A resident with a history of UTIs and cognitive impairment was observed multiple times with a urinary catheter bag and tubing lying on the floor while seated in a wheelchair in the dining room. The bag was partially full and dragged along the floor as the resident moved, with staff present but not intervening. The resident's care plan required maintaining a closed system and keeping the bag off the floor, but these interventions were not followed, and staff interviews revealed inconsistent practices regarding catheter care.
A resident with multiple medical conditions experienced a significant, unverified weight loss over a short period. Despite care plan interventions and regular weight monitoring, staff did not document verification of the weight change or notify the physician as required. Interviews revealed uncertainty about the cause and accuracy of the weight loss, and facility policy on risk assessment was not followed.
Glucometers Not Cleaned Per Manufacturer Guidelines
Penalty
Summary
The facility failed to ensure glucometers were cleaned according to manufacturer guidelines for infection control when obtaining blood sugar readings for three residents. During an observation, an LPN obtained a resident’s blood sugar reading and then returned the glucometer to the medication cart, where she wrapped it in a bleach wipe for two minutes without first cleaning or wiping down the device. She then removed the glucometer and placed it in the bottom of the top drawer of the medication cart to dry, with no barrier on the drawer bottom. The LPN stated she cleaned the glucometer for two minutes and then let it dry. During another observation, an LPN wiped the glucometer for ten seconds, discarded the wipe, and laid the device on a paper towel to dry for two minutes before obtaining another resident’s blood sugar reading. After the reading, she again wiped the glucometer for nine seconds, discarded the wipe, and laid it on the paper towel to dry. In a third observation, an RN obtained a resident’s blood sugar reading and then wiped the glucometer on the front and back for a total of five seconds before placing it in the top drawer of the medication cart on a napkin to dry. The RN stated she had been trained to wipe the front and back of the glucometer and was not sure of the exact wiping time. The DON stated staff should clean the glucometer per manufacturer guidelines, and the manufacturer instructions required wiping the entire surface of the meter 3 times horizontally and 3 times vertically using one towelette, then allowing the exterior to remain wet for the 2-minute contact time.
Indwelling Catheter Drainage System Left on Floor
Penalty
Summary
The facility failed to ensure proper management of a resident’s indwelling urinary catheter drainage system by keeping it off the floor. Resident 25 had a diagnosis that included chronic kidney disease and had a care plan dated 3/26/26 identifying the use of an indwelling urinary catheter. The care plan interventions included maintaining a closed system with the urinary bag below the resident’s bladder and covering and observing the tubing while avoiding obstructions. The resident also had a nurse’s note dated 4/22/26 indicating a urine culture was received and reported to the physician, and a new order was received for Augmentin for a urinary tract infection. During observations, the resident’s catheter tubing was seen lying flat directly on the floor with the tubing coiled around the catheter, the drainage bag was hanging on the bedrail with the bottom slightly off the floor and was then placed onto the bed, and the bag later was observed scrunched up on the floor. During one observation, an LPN lifted the catheter bag above the level of the resident’s bladder while moving it onto the bed. Interviews with CNA 8 and the IP/LPN indicated the catheter bag and tubing should not be on the floor, and the IP/LPN stated that if the bag was on the floor it could cause infections or possible leaks.
Failure to Update Care Plans for Documented Resident Behaviors
Penalty
Summary
The facility failed to ensure that comprehensive care plans accurately reflected the documented behaviors of two residents with dementia and behavioral disturbances. For one resident with Alzheimer's disease, dementia, and psychotic disorder, multiple progress notes documented repeated incidents of aggression and resistiveness toward staff, including attempts to hit, grab, punch, and throw objects at staff and other residents. Despite these documented behaviors and medication adjustments for agitation, the resident's care plan did not include a comprehensive plan addressing these specific behaviors. Another resident with dementia and generalized anxiety was noted in progress notes to have demonstrated physically aggressive and resistive behaviors, including punching another resident. However, the care plan for this resident did not document the behavior or address the risk for aggression toward other residents. Facility guidelines require that new areas of concern, such as these behaviors, be addressed in the care plan, but this was not done for either resident.
Failure to Implement Fall Prevention Interventions and Ensure Safe Transfers
Penalty
Summary
The facility failed to implement appropriate interventions to prevent falls and ensure resident safety for five out of seven residents reviewed for accidents. In multiple instances, staff did not use required equipment such as foot pedals on wheelchairs or mechanical lifts during transfers, despite care plans and physician orders specifying their necessity. For example, one resident with a history of falls, dementia, and a left artificial hip joint was transferred from a shower to a bed without the use of a mechanical lift or wheelchair foot pedals, resulting in a fall that caused abrasions and a skin tear. Staff interviews confirmed that the required interventions were not followed at the time of the incident. Another resident with progressive neurological disease, severe obesity, and osteoporosis experienced two falls while ambulating with staff assistance. In both cases, the staff member left the resident unattended or did not maintain proper supervision, contrary to the care plan interventions that required the use of a gait belt and close assistance. The falls were attributed to lower extremity weakness, and the care plan was updated only after the incidents occurred. Staff interviews revealed that the CNA recognized the error in leaving the resident alone, and the DON acknowledged that the required supervision was not provided. Additional observations showed residents being transported in wheelchairs without foot pedals, resulting in their feet dragging or being positioned unsafely. In one case, a resident with dementia and recent fractures was pushed in a wheelchair without foot pedals, despite the care plan instructing staff to encourage their use. Another resident with repeated falls and severe cognitive impairment slid out of a wheelchair when their feet hit the floor during transport, as foot pedals were not in place. Staff interviews and documentation confirmed that the facility's fall management policy was not consistently followed, and interventions to prevent accidents were not reliably implemented.
Failure to Notify Physician of Resident's Change in Condition
Penalty
Summary
A deficiency occurred when the facility failed to notify the physician in a timely manner regarding a significant change in condition for a resident. The resident had multiple diagnoses, including pleural effusion, acute respiratory syncytial virus, hypertensive heart disease with heart failure, endocarditis, dementia, cardiomegaly, and edema. On assessment, the resident presented with pitting edema in both lower extremities, with the left leg showing 2+ edema and the right leg 1+ edema. The resident also complained of mild pain in the lower legs, which worsened on palpation, and was observed to be short of breath with expiratory wheezes. The nurse's note documented these findings, but there was no evidence in the record that the physician was notified promptly about these changes. Interviews with nursing staff and the Director of Nursing confirmed that the physician should have been contacted immediately when the resident exhibited increased edema, pain, and respiratory symptoms. The facility's policy also required timely notification of the physician for any change in condition to ensure appropriate interventions. The lack of timely physician notification in this case constituted a failure to follow established protocols for resident care.
Improper Management of Urinary Catheter Drainage System
Penalty
Summary
A deficiency was identified when a resident with a history of urinary tract infections (UTIs), chronic kidney disease, dementia, and urinary retention was observed with improper management of their urinary catheter drainage system. On two separate occasions, the resident was seen in the dining room sitting in a wheelchair with the urinary catheter bag and tubing lying on the floor. The catheter bag was partially full of urine, and the tubing contained yellow urine and sediment. The resident's feet were stepping on the tubing, and as the resident moved the wheelchair, the catheter bag and tubing dragged and scraped along the floor. Multiple staff members were present during these observations but did not intervene to correct the situation. The resident's medical record indicated a history of recurrent UTIs, agitation, and episodes of pulling out the catheter, requiring repeated reinsertion. The care plan included interventions to maintain a closed catheter system, keep the drainage bag below the bladder and covered, and prevent the catheter from being pulled out. Despite these documented interventions, the observations showed that the catheter system was not maintained properly, as the bag and tubing were allowed to rest on the floor, contrary to facility policy and standard infection control practices. Interviews with staff revealed a lack of awareness and inconsistent practices regarding the proper placement of the catheter bag. One CNA stated she had attached the bag to the underside of the wheelchair, as she had been taught, but was unaware that the bag had ended up on the floor. The supervisor confirmed that the catheter bag should not be on the floor and noted the resident's tendency to play with the bag and tubing. Facility policy explicitly stated that catheter tubing and drainage bags should not touch the floor to avoid infection, yet this protocol was not followed during the observed incidents.
Failure to Verify Significant Weight Loss in a Resident
Penalty
Summary
The facility failed to ensure a resident's weight was accurately verified following significant changes, resulting in a lack of documentation confirming the accuracy of a substantial weight loss. The resident, who had multiple diagnoses including pleural effusion, heart failure, endocarditis, dementia, and edema, was prescribed furosemide for bilateral lower extremity edema and was identified as clinically at risk due to significant weight fluctuations. Despite care plan interventions that included regular weight monitoring and nutritional support, the resident experienced a marked drop in weight from 188.7 pounds to 145.4 pounds within a short period, with no documentation that the weight loss was verified or rechecked for accuracy. Interviews with facility staff revealed uncertainty regarding the cause of the weight loss, with the DON and RD both acknowledging the need to investigate and verify the resident's weight, including consideration of possible errors such as not subtracting the weight of a wheelchair. The facility's policy required assessment and analysis of risk factors, including the use of diuretics, but there was no evidence that the significant weight change was properly verified or that the physician was notified as required. The deficiency was identified through review of records and staff interviews, which confirmed that the resident should have been reweighed to ensure accuracy.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near New Albany
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Green Valley Care Center | 0.2 mi | ★★★★★ | 20 | 0 |
| Lincoln Hills Of New Albany | 1.2 mi | ★★★★★ | 12 | 0 |
| Villages At Historic Silvercrest The | 1.8 mi | ★★★★★ | 4 | 0 |
| Rolling Hills Healthcare Center | 2.4 mi | ★★★★★ | 4 | 0 |
| Wedgewood Healthcare Center | 2.8 mi | ★★★★★ | 12 | 0 |
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