Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Autumnwood Of Deckerville during CMS and state inspections, most recent first.
The facility did not keep an area free from accident hazards and failed to provide adequate supervision to prevent accidents, as observed by surveyors.
The facility failed to notify the responsible parties of three residents about changes in their medication regimens. One resident received changes in antidepressant and antianxiety medications without guardian consent. Another resident was administered Haldol for severe agitation without notifying the guardian. A third resident had changes in antianxiety medications without documented consent from her daughter. The facility did not adhere to its policy requiring notification and documentation of such changes.
A facility failed to initiate a timely change in condition/PASSAR follow-up for a resident with diabetes, stroke, and mental illness, who remained in the facility beyond the 30-day hospital exemption period without a Level II OBRA assessment. The deficiency was identified through record reviews and staff interviews, revealing a delay in completing necessary documentation.
A resident with multiple health issues and moderate cognitive impairment did not receive a restorative therapy program after physical and occupational therapy ceased. Despite the resident's willingness to continue therapy, a lack of communication and documentation between the therapy and nursing departments resulted in the resident not being transitioned to restorative therapy, contrary to facility policy.
A review of facility records revealed that the required annual inspection identified a failed dry fire sprinkler system accelerator, resulting in a failed flow test. The deficiency was not corrected by the time of survey, as confirmed by the maintenance director.
A resident with a history of behavioral issues made non-consensual contact with another resident who had severely impaired cognitive skills. Despite previous warnings and room changes, the resident was found with his hand on the other resident's brief. The facility failed to adequately supervise and prevent the incident, highlighting a deficiency in implementing their abuse prevention policy.
Failure to Maintain Safe Environment and Supervision
Penalty
Summary
The facility failed to ensure that an area was free from accident hazards and did not provide adequate supervision to prevent accidents. Surveyors observed that the environment contained hazards that could lead to resident accidents, and staff did not implement sufficient measures to monitor or protect residents from these risks. No specific details about the residents involved, their medical history, or their condition at the time of the deficiency are provided in the report.
Failure to Notify Responsible Parties of Medication Changes
Penalty
Summary
The facility failed to notify the responsible parties of three residents regarding the initiation and changes to their medication regimens. Resident #42, who was diagnosed with Dementia, Adjustment Disorder, Delusional Disorder, Depression, Anxiety, and Schizophrenia, was deemed incapable of making decisions, and a guardian was appointed. Despite changes in her medication, including the initiation and dosage increases of Cymbalta and Buspirone, there was no documentation indicating that the guardian consented to these changes. Resident #68, diagnosed with Dementia, Adjustment Disorder, Anxiety, Depression, and Psychotic Disorder, also had a guardian appointed due to his inability to make decisions. He was administered Haldol for severe agitation without documentation of guardian consent or notification of the events leading to the administration. The resident exhibited aggressive behavior, necessitating the emergency use of Haldol, but the facility failed to inform the guardian about this medication change. Resident #75, with diagnoses including Vascular Dementia, Alzheimer's, Adjustment Disorder, Psychotic Disorder, and Depression, was also incapable of making decisions, with her daughter as the responsible party. Changes in her medication regimen, including the initiation and dosage adjustments of Lorazepam and Klonopin, were made without documented consent from her daughter. The facility's policy required notification and documentation of such changes, but these were not adhered to, leading to the deficiency.
Plan Of Correction
1. Res. #42's responsible party was notified and agreed to use of anti-depressant and anti-anxiety medications. Update was given to responsible party on all changes and adjustments that have been made. Res. #68's responsible party was contacted and consent was obtained for use of anti-psychotic medication. Responsible party was also updated on all recent changes or adjustments and behaviors. Res. #75's responsible party was notified and agreed to use of anti-anxiety medication. Update was given to responsible party on all changes and adjustments that have been made. 2. Social Service Designee reviewed other residents in the building receiving psychotropic medications to ensure appropriate notification and consents were received. 3. Notification of Change Policy and Procedure was reviewed by the IDT team. All Nurses, RD, and Social Service Designee were in-serviced on the Notification of Change Policy. 4. Director of Nursing or designee will audit 25% of all psychotropic medication new orders in stand-up meetings weekly x4, then monthly x2 to ensure that notification and consent was obtained. Any concerns will be addressed. Results of the audit will be reported to QA monthly. The Director of Nursing will be in charge of sustained compliance. 5. Director of Nursing or designee will audit 25% of the residents currently on psychotropic medications to ensure the responsible party was contacted and consented to anti-psychotics and agreed to anti-anxiety and anti-depressant medication. Responsible party was also updated on all recent changes or adjustments and behaviors weekly x4, then monthly x2 to ensure that notification and consent was obtained. Any concerns will be addressed. Results of the audit will be reported to QA monthly. The Director of Nursing will be in charge of sustained compliance.
Failure to Initiate Timely PASSAR Follow-Up for Resident
Penalty
Summary
The facility failed to initiate a change in condition/PASSAR follow-up for a resident who was admitted with diagnoses including diabetes, stroke, and mental illness. The resident had impaired cognition and required extensive assistance with activities of daily living. Upon admission, a hospital exemption discharge was noted, and a tentative discharge date was scheduled within two weeks. However, the resident remained in the facility beyond the 30-day exemption period without a Level II OBRA assessment being initiated, as required if the resident's stay extended beyond 30 days. The deficiency was identified during a record review and interviews with facility staff. The Social Worker Designee and the Director of Nursing were unable to provide additional documentation regarding the resident's PASSAR correspondence. It was later revealed that a new PASSAR correspondence was documented, indicating a change in condition, but this was not completed in a timely manner. The facility's policy requires that a change in condition be submitted to the local community mental health program for review if a resident remains in the facility longer than the initial 30-day exemption period.
Plan Of Correction
1. Res. #3 had a change in condition triggered at survey by the Social Services Designee, and CMH has begun the Level 2 screening. 2. Social Service Designee reviewed all residents in building to ensure that no other residents had missed change in condition. 3. Social Service Designee and Admission Director were in-serviced on Pre-Admission Screening and Guest/Resident Review Policy and Procedure. 4. Social Service Designee will audit 25% of resident population weekly x4, then monthly x2 to ensure that all PASSARs are current and up to date. Any concerns will be addressed. Results of audit will be reported to QA Monthly. Social Service Designee will be in charge of sustained compliance.
Failure to Initiate Restorative Therapy Program
Penalty
Summary
The facility failed to initiate a restorative therapy program for a resident, identified as Resident #76, who was admitted with diagnoses including adjustment disorder, heart failure, muscle weakness, difficulty in walking, and acquired absence of right toe(s). The resident had moderately impaired cognition and required assistance with various activities of daily living. Despite the resident's expressed desire to continue therapy and denial of refusing therapy, the facility did not transition the resident to a restorative therapy program after the cessation of physical and occupational therapy. Interviews with the Therapy Manager and the Unit Manager/Restorative Therapy Nurse revealed a lack of communication and documentation regarding the resident's transition to restorative therapy. The Therapy Manager acknowledged the intention to place the resident in the restorative therapy program but noted a miscommunication that resulted in the plan not being documented in the medical records. The Unit Manager confirmed that no evaluation or referral for restorative therapy was received, despite the resident being a candidate for such a program. The Director of Nursing was informed of the communication breakdown and the failure to develop a restorative therapy plan for the resident. The facility's policy on restorative nursing emphasizes the importance of enabling residents to attain and maintain their highest practicable level of well-being through an interdisciplinary approach. However, the lack of a documented plan and communication between departments led to the resident not receiving the necessary restorative services.
Plan Of Correction
1. Resident #76 was evaluated and picked up by Physical and Occupational Therapy. 2. All residents discharged from PT or OT in the last 30 days were reviewed to ensure residents were started on a Restorative Therapy Program if ordered. 3. Therapy Director, Nursing Staff, and IDT team was educated on the Restorative Policy and Procedure as well as the ADL Policy and Procedure. 4. The Director of Nursing will audit all discharges from PT and/or OT weekly for four weeks, then monthly for two months to ensure restorative therapy programs were initiated as ordered. Any concerns will be addressed. Results of the audit will be reported to QA monthly. The Director of Nursing will be in charge of sustained compliance.
Failure to Address Sprinkler System Deficiency After Failed Inspection
Penalty
Summary
The facility failed to provide required maintenance and testing for its automatic sprinkler system in accordance with NFPA 25. During a record review, it was found that the annual fire sprinkler inspection report from November 21, 2024, documented a failure of the dry fire sprinkler system accelerator, which resulted in a failed flow test. As of the time of the survey on March 5, 2025, the deficiencies identified in the inspection report had not been addressed. These findings were confirmed through an interview with the maintenance director during the record review. No information about specific residents or their medical conditions was included in the report.
Failure to Protect Resident from Sexual Abuse
Penalty
Summary
The facility failed to protect a resident's right to be free from sexual abuse, as evidenced by an incident involving two residents. Resident #1, who had intact cognition but a history of behavioral issues, was observed making non-consensual contact with Resident #2, who had severely impaired cognitive skills and was dependent on staff for daily activities. Despite previous warnings and room changes to prevent Resident #1 from entering Resident #2's room, Resident #1 was found with his hand on Resident #2's brief and a finger inside it while Resident #2 was asleep. Prior to the incident, Resident #1 had exhibited aggressive behavior, including yelling and physical aggression towards caregivers. He had also been observed entering female residents' rooms without permission, including Resident #2's room, despite being advised against it. On the day of the incident, staff had to repeatedly redirect Resident #1 away from Resident #2's room, but he persisted in his attempts to visit her, becoming agitated and verbally abusive when confronted. The facility's failure to adequately supervise Resident #1 and prevent him from accessing Resident #2's room resulted in the observed incident. The facility's policy on abuse prevention was not effectively implemented, as staff were unable to prevent the non-consensual contact despite being aware of Resident #1's previous attempts to engage with Resident #2. The incident was reported, and legal parties were notified, but the lack of documentation of a skin assessment following the incident was noted.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 16 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Deckerville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sanilac Medical Care Facility | 8.5 mi | — | 1 | 0 |
| Marlette Community Hospital Ltcu | 21.8 mi | — | 0 | 0 |
| Lakeview Extended Care And Rehabilitation | 22.3 mi | — | 5 | 0 |
| Courtney Manor | 22.9 mi | — | 10 | 0 |
| Medilodge Of Cass City | 23.1 mi | — | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.