Deficiency Records for Summit Rehabilitation and Care Community
Updated as of March 01, 2024
A list of the most recent deficiencies for Summit Rehabilitation and Care Community. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-02 | 2023-12-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-02 | 2023-12-10 | 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 | 2023-08-02 | 2023-12-05 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-07-13 | 2023-10-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-13 | 2023-09-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-02 | 2023-08-31 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-07-13 | 2023-08-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-02 | 2023-08-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-02 | 2023-08-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-02 | 2023-08-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-02 | 2023-08-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-02 | 2023-08-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-02 | 2023-08-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-13 | 2023-08-12 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-07-13 | 2023-08-12 | N |
| Provide activities to meet all resident's needs. | Health | 2023-07-13 | 2023-08-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-13 | 2023-08-12 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-07-13 | 2023-08-12 | 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 | 2023-07-13 | 2023-08-12 | N |
| Provide or obtain dental services for each resident. | Health | 2023-07-13 | 2023-08-12 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-07-13 | 2023-08-12 | 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 | 2022-12-01 | 2023-01-16 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-26 | 2022-08-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-26 | 2022-07-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-04 | 2022-06-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-03-23 | 2021-05-03 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-03-23 | 2021-05-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-03-23 | 2021-05-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-03-23 | 2021-05-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-03-23 | 2021-05-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-23 | 2021-05-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-23 | 2021-04-30 | 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 | 2021-03-23 | 2021-04-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-23 | 2021-04-23 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-03-23 | 2021-04-13 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2021-03-23 | 2021-04-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-03-23 | 2021-03-24 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-02-24 | 2021-03-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-02-24 | 2021-03-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-02-24 | 2021-03-18 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-02-24 | 2021-03-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-02-24 | 2021-03-18 | N |
