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Deficiency Records for The Heights of Summerlin, LLC
A list of the most recent deficiencies for The Heights of Summerlin, LLC. 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 Heights of Summerlin, LLC. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-02-29 | 2024-04-22 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-02-29 | 2024-04-22 | N |
| Develop a communication plan. | Fire Safety | 2024-02-29 | 2024-04-22 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-02-29 | 2024-04-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-29 | 2024-04-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-29 | 2024-04-22 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-02-29 | 2024-04-22 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-02-29 | 2024-04-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-02-29 | 2024-04-22 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-02-29 | 2024-04-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-29 | 2024-04-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-02-29 | 2024-04-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-02-29 | 2024-04-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-29 | 2024-04-22 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-02-29 | 2024-04-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-01 | 2024-03-29 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-03-01 | 2024-03-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-01 | 2024-03-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-01 | 2024-03-29 | N |
| 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. | Health | 2024-03-01 | 2024-03-29 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-03-01 | 2024-03-29 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-03-01 | 2024-03-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-01 | 2024-03-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-03-01 | 2024-03-29 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-03-01 | 2024-03-29 | N |
| 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. | Health | 2024-03-01 | 2024-03-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-01 | 2024-03-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-01 | 2024-03-29 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-30 | 2023-12-31 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-11-30 | 2023-12-29 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-11-30 | 2023-12-28 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-11-30 | 2023-04-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-10 | 2023-03-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-10 | 2023-03-31 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-02-10 | 2023-03-31 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-02-10 | 2023-03-31 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-02-10 | 2023-03-31 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-02-10 | 2023-03-31 | N |
| 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. | Health | 2023-02-10 | 2023-03-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-10 | 2023-03-31 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-10 | 2023-03-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-10 | 2023-03-31 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-02-09 | 2023-03-31 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-02-09 | 2023-03-31 | N |
| Develop a communication plan. | Fire Safety | 2023-02-09 | 2023-03-31 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-02-09 | 2023-03-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-02-09 | 2023-03-31 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-02-09 | 2023-03-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-09 | 2023-03-31 | 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 | 2023-02-09 | 2023-03-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-02-09 | 2023-03-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-09 | 2023-03-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-09 | 2023-03-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-09 | 2023-03-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-09 | 2023-03-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-09 | 2023-03-31 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-02-09 | 2023-03-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-18 | 2022-12-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-18 | 2022-12-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-18 | 2022-12-23 | Y |
| 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. | Health | 2022-11-18 | 2022-12-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-18 | 2022-12-23 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-11-18 | 2022-12-23 | Y |
| 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. | Health | 2022-11-18 | 2022-11-18 | Y |
| 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 | 2022-11-18 | 2022-11-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-01 | 2022-01-07 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-12-01 | 2022-01-07 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-08-06 | 2019-09-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-06 | 2019-09-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-06 | 2019-09-23 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-08-06 | 2019-09-23 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2019-08-06 | 2019-09-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-09 | 2019-09-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-09 | 2019-09-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-09 | 2019-09-19 | N |
| Provide appropriate foot care. | Health | 2019-08-09 | 2019-09-19 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-08-09 | 2019-09-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-09 | 2019-09-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-08-09 | 2019-09-19 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-08-09 | 2019-09-19 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-08-09 | 2019-09-19 | N |
| 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. | Health | 2019-08-09 | 2019-09-19 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-08-09 | 2019-09-19 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-08-09 | 2019-09-19 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-08-09 | 2019-09-19 | N |
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