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Deficiency Records for The Summit at Blue Mountain Nursing and Rehab Ctr
A list of the most recent deficiencies for The Summit at Blue Mountain Nursing and Rehab Ctr. 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 at Blue Mountain Nursing and Rehab Ctr. 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? |
|---|---|---|---|---|
| Assess the resident when there is a significant change in condition | Health | 2024-12-12 | 2025-01-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-12-18 | 2025-01-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-18 | 2025-01-06 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-01-25 | 2024-03-09 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-01-25 | 2024-03-09 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-01-25 | 2024-03-09 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-25 | 2024-03-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-25 | 2024-03-09 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-01-25 | 2024-03-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-25 | 2024-03-09 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-01-25 | 2024-03-09 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2024-01-25 | 2024-03-09 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2024-01-29 | 2024-02-14 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-01-29 | 2024-02-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-29 | 2024-02-14 | 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 | 2023-02-09 | 2023-04-04 | 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 | 2023-02-09 | 2023-04-04 | 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 | 2023-02-09 | 2023-04-04 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-02-09 | 2023-04-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-02-09 | 2023-04-04 | N |
| Provide or obtain dental services for each resident. | Health | 2023-02-09 | 2023-04-04 | 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 | 2023-02-15 | 2023-03-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-15 | 2023-03-14 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-02-15 | 2023-03-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-06 | 2023-01-04 | Y |
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