Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Aegis Nursing Home during CMS and state inspections, most recent first.
The facility failed to maintain a clean, sanitary, and safe environment, affecting all 86 residents. Observations included stained carpeting, discolored handrails, dead bugs in light fixtures, water-stained ceiling tiles, stained privacy curtains, scuffed bathroom doors, dust-coated air vents, stained blankets, missing closet door handles, dirty floors, and encrusted tube feeding poles. The Maintenance Director verified these findings during the environmental tour.
The facility failed to conduct care conferences quarterly and with significant changes in condition for five residents, as required by policy. Residents and their representatives were not invited to participate in the meetings, and the facility's tracking log and audit tool were incomplete.
The facility failed to notify four residents when their funds accounts exceeded the Medicaid resource limit of $2,000.00. Balances ranged from $2,404.86 to $12,850.52, and no spend down notifications were provided, as confirmed by an administrative assistant.
The facility failed to accurately code the MDS assessments for five residents, leading to discrepancies in their medical records. Errors included incorrect coding of mental illness and intellectual disability statuses, hearing impairments, and wound statuses. These inaccuracies were confirmed through interviews and medical record reviews.
The facility failed to update care plans for two residents, one requiring hearing aids and another receiving hospice care, despite clear indications and staff awareness of their needs.
A facility failed to ensure interventions for treating and preventing pressure ulcers were in place for a resident with severe cognitive impairment and multiple medical conditions. The resident's Prevalon boots were often not worn, and the air mattress was incorrectly set, despite orders and care plans indicating these interventions. Staff interviews and observations confirmed the resident's inability to move or kick off the boots, contradicting the care plan updates.
The facility failed to complete required smoking assessments for a resident identified as a chronic smoker. Despite the care plan indicating quarterly assessments, only two assessments were conducted since admission, with the last one completed in March 2023. Staff interviews revealed confusion about responsibility and frequency of these assessments.
The facility failed to provide dental services for a resident with dentures, resulting in the resident not being seen by a dentist and experiencing discomfort from ill-fitting dentures. The receptionist did not include the resident on the dental list or obtain consent, and the issue was reported but not addressed.
The facility failed to ensure that required information was posted and updated, affecting all 86 residents. An observation revealed outdated ombudsman contact details and missing information on the Medicaid fraud unit, Adult Protective Services, and complaint filing with the Ohio Department of Health. Interviews with the Ombudsman Program Director and the Administrator confirmed these findings.
The facility failed to make reports of complaint investigations from the past three years readily available. The survey book was found in a closed drawer and did not contain recent surveys. The Administrator confirmed these findings.
Facility Fails to Maintain Clean and Safe Environment
Penalty
Summary
The facility failed to maintain a clean, sanitary, and safe environment, which had the potential to affect all 86 residents. During an environmental tour, significant issues were observed, including large stains on carpeting throughout common areas, hallways, and resident rooms. Handrails in common hallways were discolored and rough to the touch, and dead bugs were found in light fixtures, including those in resident dining areas. Water-stained ceiling tiles were noted around the 100 hall nurse's station. Additionally, privacy curtains in several resident rooms were significantly stained with unknown substances, and bathroom doors in other rooms were noticeably scuffed and scraped. Dust-coated air vents, stained blankets, missing closet door handles, dirty floors, and encrusted tube feeding poles were also observed in various resident rooms. The Maintenance Director verified these findings during the environmental tour. Specific resident rooms were identified with various deficiencies, such as stained privacy curtains, scuffed bathroom doors, dust-coated air vents, stained blankets, missing closet door handles, dirty floors, and encrusted tube feeding poles. These observations indicate a widespread issue with cleanliness and maintenance throughout the facility, potentially impacting the health and safety of all residents.
Failure to Conduct Required Care Plan Meetings
Penalty
Summary
The facility failed to conduct care conferences quarterly and with a significant change in condition as required, affecting five of six residents reviewed for care planning meetings. Resident #32, who was cognitively intact and required assistance with activities of daily living, did not have quarterly care plan meetings in October 2023 or January 2024. The resident and her representative were not invited to participate in the meetings, and the representative was not offered the option to participate via telephone. Similarly, Resident #62, who was also cognitively intact and had medically complex conditions, did not have care plan meetings between March 2023 and February 2024. The resident was unaware of attending any care plan meetings during this period. Resident #36, who was severely cognitively impaired and required assistance with all activities of daily living, did not have documented care plan meetings for March 2023, June 2023, and December 2023. Resident #25, who was cognitively intact and required assistance with activities of daily living, did not have a care plan meeting documented between March 2023 and September 2023. Both residents were unaware of attending any care plan meetings. Additionally, Resident #64, who had severe cognitive impairment and was on hospice care, was missing from the care conference audit log. The resident did not have a care conference between December 2023 and May 2024, including around the time of hospice election. The facility's policy required care plan meetings to be held following admission, quarterly, and with any significant change in condition. However, the facility failed to adhere to this policy, as evidenced by the lack of documented care plan meetings for the affected residents. Interviews with staff and residents' representatives confirmed the deficiencies in scheduling and conducting the required care plan meetings. The facility's tracking log and audit tool were also found to be incomplete, further highlighting the lapses in care planning processes.
Failure to Notify Residents of Medicaid Resource Limit
Penalty
Summary
The facility failed to notify residents when their resident funds accounts were within $200.00 of the Medicaid resource limit, as required. This deficiency affected four residents. Resident #12 had a balance of $6,595.42, Resident #60 had a balance of $6,061.71, Resident #65 had a balance of $2,404.86, and Resident #79 had a balance of $12,850.52. All these balances were over the Medicaid resource limit of $2,000.00, and no notifications of spend down were provided to the residents or their responsible parties. This was confirmed by an interview with Administrative Assistant #195.
Inaccurate MDS Coding for Multiple Residents
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) assessments for five residents, leading to discrepancies in their medical records. Resident #53, who had a level two developmental disability, was incorrectly coded as not having a serious mental illness or intellectual disability. Similarly, Resident #60 and Resident #78, both with level two mental illnesses, were also incorrectly coded in their MDS assessments. These errors were confirmed by the Social Service Designee during an interview. Resident #47, who had documented hearing loss and used hearing aids, was inaccurately coded as having intact hearing with no device used. Despite multiple progress notes and interviews confirming the resident's hearing impairment and use of hearing aids, the MDS Coordinator believed the resident was faking her hearing loss and did not include this information in the MDS assessment. This discrepancy was verified through interviews with the resident, staff, and review of the resident's care plan and progress notes. Resident #64, who had severe cognitive impairment and multiple unhealed pressure ulcers, was also inaccurately coded in the MDS assessment. The MDS Coordinator referenced the wrong documentation, leading to incorrect coding of the resident's wound status. The resident's medical record indicated the presence of unstageable pressure ulcers, which were not accurately reflected in the MDS assessment. This error was confirmed by the MDS Coordinator during an interview.
Failure to Update Care Plans for Hearing and Hospice Care
Penalty
Summary
The facility failed to ensure resident care plans were updated to reflect individualized and necessary components of their care. For Resident #47, the care plan for hearing did not include the use of hearing aids despite multiple progress notes and an audiology evaluation indicating the resident was hard of hearing and required hearing aids. Interviews with the resident and staff confirmed the resident's need for hearing aids, and the MDS Coordinator admitted to not realizing the resident had hearing aids, which should have been included in the care plan. This oversight resulted in the resident experiencing frustration due to background noise and issues with hearing aid batteries and loss of a hearing aid. For Resident #64, the care plan did not reflect the resident's current status of receiving hospice care, despite the resident having been under hospice care for months. The MDS 3.0 significant change in status assessment identified the resident as having a severe cognitive impairment and a terminal prognosis, but the care plan still referenced a previous discontinuation of hospice services. Interviews with the LPN and DON confirmed the resident's ongoing hospice care and the need for the care plan to be updated to reflect this. The facility's policy on the interdisciplinary care plan process mandates regular updates and reviews, which were not adhered to in these cases.
Failure to Implement Pressure Ulcer Interventions
Penalty
Summary
The facility failed to ensure interventions were in place to treat existing pressure ulcers and prevent new pressure ulcers from developing as ordered for a resident with severe cognitive impairment and multiple medical conditions. The resident, who was completely dependent on staff for all activities of daily living, had orders for bilateral Prevalon boots and a low air loss mattress, but these interventions were not consistently implemented. Observations revealed the resident was not wearing the Prevalon boots, and the air mattress was incorrectly set for a patient weight of 250 lbs, more than twice the resident's actual weight of 116 lbs. Interviews with staff confirmed that the resident was supposed to wear the Prevalon boots due to wounds on both feet, but the boots were often found lying on top of the bed covers. The Director of Nursing verified the incorrect air mattress settings and the absence of the heel boots, stating she would check with the wound nurse to correct the settings. Further observations showed the resident remained in bed with the boots in place only after the initial observations and interviews. The resident's care plan was inaccurately updated to reflect that the resident frequently kicked off the Prevalon boots, despite multiple staff members confirming that the resident had significant contractures and was unable to make any spontaneous or purposeful movements. The wound nurse admitted to adding the incorrect information based on the resident's condition upon hospital return, not the current functional abilities. The facility's policy required comprehensive skin assessments and appropriate treatments for existing skin breakdown, which were not adequately followed in this case.
Failure to Complete Required Smoking Assessments
Penalty
Summary
The facility failed to complete smoking assessments as required for Resident #25, who was identified as a chronic smoker. Despite the care plan indicating that smoking assessments should be completed quarterly and with significant changes, only two assessments were conducted since admission. The last assessment was completed on 03/12/23, and no quarterly assessments were done thereafter. Interviews with various staff members, including the MDS Nurse, Restorative Nurse, Social Service Director (SSD), and Director of Nursing (DON), revealed confusion and lack of clarity regarding who was responsible for completing the smoking assessments and the frequency at which they should be conducted. Resident #25, who had diagnoses including type two diabetes mellitus, bipolar disorder, benign prostatic hyperplasia, and cognitive communication deficit, was cognitively intact but required assistance with activities of daily living. The resident temporarily ceased smoking on 03/30/24 due to an upcoming surgery but indicated the possibility of resuming smoking post-surgery. The facility's policy, revised in April 2019, stated that smoking assessments should be completed upon admission, with significant changes, and quarterly if the resident is a smoker. However, this policy was not adhered to, leading to the deficiency noted in the report.
Failure to Provide Dental Services for Resident with Dentures
Penalty
Summary
The facility failed to offer and provide dental services for a resident with dentures, specifically affecting Resident #36. The resident, who was admitted with diagnoses including type two diabetes mellitus and adult failure to thrive, was assessed as severely cognitively impaired and had natural teeth on the lower gums and was edentulous on the upper gums. Despite this, the resident's upper dentures were lost, and the facility did not arrange for dental services. Interviews revealed that the receptionist was responsible for scheduling dental services but failed to include Resident #36 on the dental list or obtain the necessary consent for dental services. Consequently, Resident #36 was never seen by the dentist during his stay at the facility. Additionally, the resident's upper dentures, which were found in his drawer, were reported to be ill-fitting and caused discomfort, leading the resident to stop wearing them for the past two months. This issue was reported to a nurse by a State Tested Nurse Aide (STNA), but no action was taken to address the problem. The deficiency was identified through observations, resident and staff interviews, and medical record reviews. The receptionist confirmed that Resident #36 was never put on the dental list and never had the dental consent signed, resulting in the resident not receiving the necessary dental services. The STNA also confirmed that the resident's upper dentures were too big and caused discomfort, which was reported to a nurse but not addressed. This lack of action and oversight led to the resident not receiving appropriate dental care, highlighting a failure in the facility's process for arranging and providing dental services to residents with dentures.
Failure to Update Resident Advocate Contact Information
Penalty
Summary
The facility failed to ensure that required information was posted and updated as mandated, affecting all 86 residents. An observation on 05/01/24 at 3:30 P.M. in the common area adjacent to the 100 hall revealed a document titled 'Resident Advocate Contact Information' with outdated long-term ombudsman contact details. The document lacked information regarding the Medicaid fraud unit, Adult Protective Services, and instructions on how to file a complaint with the Ohio Department of Health (ODH). An interview on 05/02/24 at 9:47 A.M. with the Ombudsman Program Director confirmed that the posted ombudsman information was several years old. The Administrator confirmed these findings during an interview on 05/02/24 at 3:30 P.M.
Failure to Make Complaint Investigation Reports Readily Available
Penalty
Summary
The facility failed to make reports of complaint investigations from the past three years readily available as required. During an observation at the facility's main entrance and common area, no survey book was found to be publicly visible. Instead, the survey book was located in a closed drawer of a nightstand near the front entrance, and it did not contain recent surveys. A review of previous survey activity revealed multiple complaint investigation surveys conducted by the Ohio Department of Health, but the results of these surveys were not present in the survey book. The Administrator confirmed these findings during an interview.
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What surveyors actually found near you
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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 Lorain
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Anchor Lodge Nursing Home Inc | 2.1 mi | ★★★★★ | 10 | 0 |
| Lake Pointe Health Care | 2.7 mi | ★★★★★ | 0 | 0 |
| Oak Hills Nursing Center | 3.1 mi | ★★★★★ | 4 | 0 |
| Amherst Manor Nursing Home | 3.7 mi | ★★★★★ | 0 | 0 |
| Wesleyan Village | 6.4 mi | ★★★★★ | 0 | 0 |
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