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Deficiency Records for Summer Meadows
A list of the most recent deficiencies for Summer Meadows. 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 Summer Meadows. 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? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-25 | 2024-04-26 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-09 | 2024-04-10 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-03-29 | 2024-03-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-29 | 2024-03-30 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-03-29 | 2024-03-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-29 | 2024-03-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-29 | 2024-03-30 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-03-29 | 2024-03-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-29 | 2024-03-30 | 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 | 2024-03-29 | 2024-03-30 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-03-29 | 2024-03-30 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-03-29 | 2024-03-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-29 | 2024-03-30 | 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 | 2024-03-29 | 2024-03-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-03-29 | 2024-03-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-29 | 2024-03-30 | N |
| Have policies on smoking. | Health | 2024-03-29 | 2024-03-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-29 | 2024-03-30 | 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 | 2024-02-27 | 2024-02-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-15 | 2024-02-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-15 | 2024-02-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-15 | 2024-02-17 | Y |
| 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 | 2023-10-24 | 2023-10-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-24 | 2023-10-25 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-08 | 2023-03-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-08 | 2023-03-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-08 | 2023-03-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-15 | 2023-02-16 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-02-15 | 2023-02-16 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2023-02-15 | 2023-02-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-02-15 | 2023-02-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-15 | 2023-02-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-15 | 2023-02-16 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-02-15 | 2023-02-16 | N |
| Post nurse staffing information every day. | Health | 2023-02-15 | 2023-02-16 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-02-15 | 2023-02-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-15 | 2023-02-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-02-15 | 2023-02-16 | 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 | 2023-02-15 | 2023-02-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-15 | 2023-02-16 | 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 | 2023-02-15 | 2023-02-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-15 | 2023-02-16 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-12-29 | 2023-01-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-29 | 2023-01-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-12-29 | 2023-01-13 | Y |
| 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 | 2021-12-08 | 2021-12-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-12-10 | 2021-12-11 | N |
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