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Deficiency Records for Summit Square

A list of the most recent deficiencies for Summit Square. 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 Square. 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 implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-11-15 2023-12-13 N
Ensure each resident receives an accurate assessment. Health 2023-11-15 2023-12-13 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-11-15 2023-12-13 N
Provide and implement an infection prevention and control program. Health 2023-11-15 2023-12-13 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-11-15 2023-12-13 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2022-03-10 2022-04-01 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-03-10 2022-04-01 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-03-10 2022-04-01 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 2022-03-10 2022-04-01 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 2022-03-10 2022-04-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-03-10 2022-04-01 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-03-10 2022-04-01 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-02-10 2021-03-08 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 2021-02-10 2021-03-08 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 2021-02-10 2021-03-08 N
Provide and implement an infection prevention and control program. Health 2021-02-10 2021-03-08 N

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