Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

AUTUMN AEGIS NURSING HOME

LORAIN, OH · 99 certified beds · Last Life Safety survey May 2, 2024

CMS Certification Number 365940 · first certified January 1994

Ownership

Operated by SPRENGER HEALTH CARE SYSTEMS · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

8
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
3
Inspection & testing records
Of the citations on file

Position within OH

8 citations — more than 14% of the 922 certified nursing homes in OH. Compared within OH rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: December 2025 to December 2026. This facility’s last Life Safety survey was May 2024. Facilities in OH are typically surveyed 20–32 months after the last one (median 26), measured over 889 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 8 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in OH, and nationally. Surveyors differ markedly between states, so the OH figure is the meaningful one.

This facility8OH median16National median11
Citations on file over three years, compared
MeasureCitations
This facility8
Median facility in OH16
Median facility nationally11

Survey history

Citations at each Life Safety survey
12019-0442022-0232024-05
Citations at each Life Safety survey
Survey dateCitations
April 18, 20191
February 10, 20224
May 2, 20243

Most-cited tags

Most-cited tags at this facility
K-03532K-05321K-02221K-03631K-01611K-07411K-02931
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22024-05-02
K-0532Have a properly installed and maintained dumbwaiter or escalator.12019-04-18
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.12024-05-02
K-0363Install corridor and hallway doors that block smoke.12022-02-10
K-0161Use approved construction type or materials.12022-02-10
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12022-02-10
K-0293Have properly located and lighted "Exit" signs.12024-05-02

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 3
  • Egress Deficiencies 2
  • Construction Deficiencies 1
  • Miscellaneous Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies3
Egress Deficiencies2
Construction Deficiencies1
Miscellaneous Deficiencies1
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

May 2, 2024 — 3 citations

Citations issued on May 2, 2024
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (May 29, 2024)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (May 29, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 29, 2024)

February 10, 2022 — 4 citations

Citations issued on February 10, 2022
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (March 15, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 15, 2022)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (March 15, 2022)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (March 15, 2022)

April 18, 2019 — 1 citation

Citations issued on April 18, 2019
TagWhat the surveyor checksStatus
K-0532Have a properly installed and maintained dumbwaiter or escalator.Deficient, Provider has date of correction (May 10, 2019)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.