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Deficiency Records for Summer Commons
View the most recent health deficiencies and inspection results for Summer Commons. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Summer Commons. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-27 | 2025-10-03 | Y |
| Implement a program that monitors antibiotic use. | Health | 2025-08-27 | 2025-10-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-27 | 2025-10-03 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-08-27 | 2025-10-03 | 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 | 2025-08-27 | 2025-10-03 | 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 | 2025-08-27 | 2025-10-03 | 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 | 2025-08-27 | 2025-09-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-08-27 | 2025-09-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-08-27 | 2025-09-20 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-08-27 | 2025-09-15 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2025-08-27 | 2025-09-08 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-08-27 | 2025-09-04 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-05-23 | 2025-07-28 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-01-24 | 2024-02-06 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-16 | 2022-12-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-11-16 | 2022-12-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-16 | 2022-12-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-11-16 | 2022-12-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-16 | 2022-12-27 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2022-11-16 | 2022-12-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-16 | 2022-12-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-16 | 2022-12-27 | 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 | 2022-11-16 | 2022-12-27 | 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 | 2022-11-16 | 2022-12-27 | 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 | 2022-11-16 | 2022-12-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-16 | 2022-12-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-16 | 2022-12-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-11-16 | 2022-12-23 | 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 | 2022-11-16 | 2022-12-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-11-16 | 2022-12-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-16 | 2022-12-23 | 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 | 2022-11-16 | 2022-12-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-11-16 | 2022-12-23 | 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 | 2019-12-11 | 2020-01-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-12-11 | 2020-01-24 | N |