Safety Report: Autumn Lake Healthcare At Birch Manor
Official ratings
Medicare's star ratings compare nursing homes within the same state for health inspections. A 5-star facility performed better than most in its state; a 1-star facility performed worse than most.
Stars are calculated by CMS, not by us. We do not create our own safety score.
Serious documented violations
No citations at the “actual harm” or “immediate jeopardy” level in the last three inspection cycles.
Citations by topic
Topics use CMS's own deficiency categories; “accidents & supervision” counts tag F689 (free of accident hazards / adequate supervision). Counts cover the last three inspection cycles, including complaint investigations.
Is it getting better or worse?
More citations in the most recent cycle (25) than in the cycle before (24).
An inspection cycle is roughly one year and includes the standard inspection plus complaint investigations. Counts depend partly on how many complaint investigations occurred, so treat small changes with caution. Red bars include at least one serious citation.
Staffing and rating trends will appear as we collect monthly CMS releases. We have one month so far, so a staffing trend cannot yet be determined.
Repeat findings
These requirements were cited on more than one inspection date in the last three cycles.
| Requirement | Times cited | Inspection dates |
|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F656) | 4 | July 16, 2026; June 11, 2025; June 9, 2021; August 3, 2018 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F609) | 4 | July 16, 2026; June 11, 2025; November 4, 2024; August 3, 2018 |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (F584) | 4 | June 11, 2025; November 4, 2024; June 9, 2021; August 3, 2018 |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (F657) | 3 | June 11, 2025; June 9, 2021; August 3, 2018 |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F842) | 3 | June 11, 2025; June 9, 2021; August 3, 2018 |
| Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F684) | 3 | June 11, 2025; June 9, 2021; August 3, 2018 |
| Provide activities to meet all resident's needs. (F679) | 2 | June 11, 2025; August 3, 2018 |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (F868) | 2 | June 11, 2025; August 3, 2018 |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F812) | 2 | June 11, 2025; August 3, 2018 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F689) | 2 | June 11, 2025; August 3, 2018 |
| Ensure each resident receives an accurate assessment. (F641) | 2 | June 11, 2025; August 3, 2018 |
| Respond appropriately to all alleged violations. (F610) | 2 | June 11, 2025; August 3, 2018 |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. (F568) | 2 | June 11, 2025; August 3, 2018 |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (F655) | 2 | June 9, 2021; August 3, 2018 |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (F806) | 2 | June 9, 2021; August 3, 2018 |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (F761) | 2 | June 9, 2021; August 3, 2018 |
| Ensure each resident’s drug regimen must be free from unnecessary drugs. (F757) | 2 | June 9, 2021; August 3, 2018 |
| Provide enough food/fluids to maintain a resident's health. (F692) | 2 | June 9, 2021; August 3, 2018 |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (F688) | 2 | June 9, 2021; August 3, 2018 |
| Prepare residents for a safe transfer or discharge from the nursing home. (F624) | 2 | June 9, 2021; August 3, 2018 |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (F623) | 2 | June 9, 2021; August 3, 2018 |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (F622) | 2 | June 9, 2021; August 3, 2018 |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F580) | 2 | June 9, 2021; August 3, 2018 |
Fines and enforcement
No federal fines or payment denials in the last three years.
Federal civil money penalties and Medicare/Medicaid payment denials. State-level penalties may not be included.
Complete inspection history
July 16, 2026 — 2 citations · complaint investigation
November 20, 2025 — 1 citation · complaint investigation
June 11, 2025 — 22 citations
November 4, 2024 — 2 citations · complaint investigation
June 9, 2021 — 22 citations
August 3, 2018 — 38 citations
Source: CMS Health Deficiencies dataset (data as of October 1, 2026); full inspection narratives on Medicare Care Compare