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Deficiency Records for The Summit
A list of the most recent deficiencies for The Summit. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for The Summit. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2023-09-14 | 2023-10-29 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-09-14 | 2023-10-29 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-09-14 | 2023-10-29 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-09-14 | 2023-10-29 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-09-14 | 2023-10-29 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-09-14 | 2023-10-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-14 | 2023-10-29 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-09-14 | 2023-10-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-14 | 2023-10-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-09-14 | 2023-10-29 | N |
| Post nurse staffing information every day. | Health | 2023-09-14 | 2023-10-29 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-09-14 | 2023-10-29 | N |
| Provide or obtain dental services for each resident. | Health | 2023-09-14 | 2023-10-29 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-09-14 | 2023-10-29 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-09-14 | 2023-10-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-14 | 2023-10-29 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-09-14 | 2023-10-29 | N |
| Dispose of garbage and refuse properly. | Health | 2023-09-14 | 2023-10-29 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-09-14 | 2023-10-29 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-09-14 | 2023-10-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-14 | 2023-10-29 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-09-14 | 2023-10-29 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-09-14 | 2023-10-29 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-09-14 | 2023-10-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-14 | 2023-10-29 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-09-14 | 2023-10-29 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-09-14 | 2023-10-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-14 | 2023-10-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-14 | 2023-10-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-14 | 2023-10-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-09-14 | 2023-10-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-14 | 2023-10-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-09-14 | 2023-10-29 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-09-14 | 2023-10-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-09-14 | 2023-10-29 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-07-22 | 2022-09-02 | N |
| 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. | Health | 2022-07-22 | 2022-09-02 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-07-22 | 2022-09-02 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-07-22 | 2022-09-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-07-22 | 2022-09-02 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-07-22 | 2022-09-02 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-07-22 | 2022-09-02 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-07-22 | 2022-09-02 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-07-22 | 2022-09-02 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-07-22 | 2022-09-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-22 | 2022-09-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-22 | 2022-09-02 | N |
| Provide activities to meet all resident's needs. | Health | 2022-07-22 | 2022-09-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-22 | 2022-09-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-22 | 2022-09-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-22 | 2022-09-02 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-07-22 | 2022-09-02 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-07-22 | 2022-09-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-22 | 2022-09-02 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-07-22 | 2022-09-02 | N |
| Dispose of garbage and refuse properly. | Health | 2022-07-22 | 2022-09-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-22 | 2022-09-02 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-07-22 | 2022-09-02 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-07-22 | 2022-09-02 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-07-22 | 2022-09-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-07-22 | 2022-09-02 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-07-22 | 2022-09-02 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-07-22 | 2022-09-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-22 | 2022-09-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-22 | 2022-09-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-22 | 2022-09-02 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-07-22 | 2022-09-02 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-07-22 | 2022-09-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-07-22 | 2022-09-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-22 | 2022-09-02 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-07-22 | 2022-09-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-17 | 2022-04-25 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-30 | 2019-10-14 | N |
| 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. | Health | 2019-08-30 | 2019-10-14 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-08-30 | 2019-10-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-30 | 2019-10-14 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-08-30 | 2019-10-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-30 | 2019-10-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-30 | 2019-10-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-30 | 2019-10-14 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2019-08-30 | 2019-10-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-30 | 2019-10-14 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-08-30 | 2019-10-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-30 | 2019-10-14 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-08-30 | 2019-10-14 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-08-30 | 2019-10-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-08-30 | 2019-10-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-30 | 2019-10-14 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-08-30 | 2019-10-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-08-30 | 2019-10-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-30 | 2019-10-14 | N |
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