A list of the most recent deficiencies for Summerford Health and Rehab, 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? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2023-09-21 | 2023-10-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-21 | 2023-10-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-21 | 2023-10-26 | 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 | 2023-09-15 | 2023-10-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-15 | 2023-10-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-15 | 2023-10-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-15 | 2023-10-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-15 | 2023-10-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-15 | 2023-10-14 | 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 | 2023-09-15 | 2023-10-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-15 | 2023-10-14 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-13 | 2019-12-18 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-11-07 | 2019-12-06 | 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 | 2019-11-07 | 2019-12-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-07 | 2019-12-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-07 | 2019-12-06 | 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 | 2019-11-07 | 2019-12-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-13 | 2019-11-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-11-13 | 2019-11-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-02 | 2018-10-19 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-10-02 | 2018-10-19 | N |
