Deficiency Records for Signature Healthcare at Summit Manor Rehab and Welln
Updated as of April 01, 2024
A list of the most recent deficiencies for Signature Healthcare at Summit Manor Rehab and Welln. 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 the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-05-04 | 2021-05-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-04 | 2021-05-11 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-10-17 | 2019-11-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-17 | 2019-11-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-17 | 2019-11-15 | 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 | 2019-10-17 | 2019-11-15 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-09-13 | 2018-09-19 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-09-13 | 2018-09-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-13 | 2018-09-19 | 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 | 2018-09-13 | 2018-09-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-13 | 2018-09-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-13 | 2018-09-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-18 | 2017-09-15 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-07-20 | 2017-08-15 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-07-20 | 2017-08-15 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-07-20 | 2017-08-15 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-07-20 | 2017-08-15 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-20 | 2017-08-15 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-07-20 | 2017-08-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-20 | 2017-08-15 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2017-07-18 | 2017-08-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-07-18 | 2017-08-15 | N |
