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Deficiency Records for Summit Health and Rehab Center
A list of the most recent deficiencies for Summit Health and Rehab Center. 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 Summit Health and Rehab Center. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-05 | 2024-02-13 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-05 | 2024-02-13 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-05 | 2024-02-13 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-01-05 | 2024-02-13 | Y |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-05-06 | 2022-12-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-06 | 2022-07-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-06 | 2022-07-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-06 | 2022-07-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-06 | 2022-07-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-05-06 | 2022-07-15 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-04-21 | 2022-06-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-21 | 2022-06-04 | N |
| 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 | 2022-04-21 | 2022-06-04 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2022-04-21 | 2022-06-04 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-04-21 | 2022-06-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-21 | 2022-06-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-21 | 2022-06-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-21 | 2022-06-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-04-21 | 2022-06-04 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-04-21 | 2022-06-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-21 | 2022-06-04 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-04-21 | 2022-06-04 | 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 | 2022-04-21 | 2022-06-04 | 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 | 2022-04-21 | 2022-06-04 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-04-21 | 2022-06-04 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-04-21 | 2022-06-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-21 | 2022-06-04 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-04-21 | 2022-06-04 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-10-31 | 2019-12-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-10-31 | 2019-12-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-31 | 2019-12-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-10-31 | 2019-12-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-31 | 2019-12-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-10-31 | 2019-12-16 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2019-10-31 | 2019-12-16 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2019-10-24 | 2019-12-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-10-24 | 2019-12-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-24 | 2019-12-05 | 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 | 2019-10-24 | 2019-12-05 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-10-24 | 2019-12-05 | 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 | 2019-10-24 | 2019-12-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-23 | 2018-10-05 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-08-23 | 2018-10-05 | 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 | 2018-08-23 | 2018-10-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-23 | 2018-10-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-23 | 2018-10-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-08-23 | 2018-10-05 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-08-23 | 2018-10-05 | 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 | 2018-08-23 | 2018-10-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-08-23 | 2018-10-05 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2018-09-18 | 2018-10-04 | N |
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