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Deficiency Records for The Summit

View the most recent health deficiencies and inspection results for The Summit. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for The Summit. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2025-12-08 2026-01-10 Y
Provide and implement an infection prevention and control program. Health 2025-08-04 2025-10-02 N
Observe each nurse aide's job performance and give regular training. Health 2025-08-04 2025-09-17 N
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Health 2025-08-04 2025-09-17 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-08-04 2025-09-17 N
Provide activities to meet all resident's needs. Health 2025-08-04 2025-09-17 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-08-04 2025-09-17 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-08-04 2025-09-17 N
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Health 2025-08-04 2025-09-17 N
Provide enough food/fluids to maintain a resident's health. Health 2025-08-04 2025-09-17 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2025-08-04 2025-09-17 N
Address subsistence needs for staff and patients. Fire Safety 2025-08-04 2025-09-17 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 2025-08-04 2025-09-17 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-08-04 2025-09-17 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2025-08-04 2025-09-17 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2025-08-04 2025-09-17 N
Keep all essential equipment working safely. Health 2025-08-04 2025-09-17 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2025-08-04 2025-09-17 N
Have enough outside ventilation via a window or mechanical ventilation, or both. Health 2025-08-04 2025-09-17 N
Provide properly protected cooking facilities. Fire Safety 2025-08-04 2025-09-17 N
Have proper medical gas storage and administration areas. Fire Safety 2025-08-04 2025-09-17 N
Meet requirements for the use of electrical equipment. Fire Safety 2025-08-04 2025-09-17 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2025-08-04 2025-09-17 N
Have simulated fire drills held at unexpected times. Fire Safety 2025-08-04 2025-09-17 N
Provide a written emergency evacuation plan. Fire Safety 2025-08-04 2025-09-17 N
Install corridor and hallway doors that block smoke. Fire Safety 2025-08-04 2025-09-17 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-08-04 2025-09-17 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2025-08-04 2025-09-17 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 2025-08-04 2025-09-17 N
Meet other general requirements that are deficient. Fire Safety 2025-08-04 2025-09-17 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2025-08-04 2025-09-17 N
Use approved construction type or materials. Fire Safety 2025-08-04 2025-09-17 N
Establish policies and procedures including evacuation. Fire Safety 2025-08-04 2025-09-17 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2025-08-04 2025-09-17 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-04-22 2025-05-20 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-04-22 2025-05-20 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2025-04-22 2025-05-20 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2024-08-21 2024-10-01 Y
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2023-09-14 2023-10-29 N
Keep residents' personal and medical records private and confidential. Health 2023-09-14 2023-10-29 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2023-09-14 2023-10-29 N
Implement a program that monitors antibiotic use. Health 2023-09-14 2023-10-29 N
Provide and implement an infection prevention and control program. Health 2023-09-14 2023-10-29 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2023-09-14 2023-10-29 N
Provide or get specialized rehabilitative services as required for a resident. Health 2023-09-14 2023-10-29 N
Dispose of garbage and refuse properly. Health 2023-09-14 2023-10-29 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2023-09-14 2023-10-29 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-09-14 2023-10-29 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2023-09-14 2023-10-29 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2023-09-14 2023-10-29 N
Provide or obtain dental services for each resident. Health 2023-09-14 2023-10-29 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 2023-09-14 2023-10-29 N
Post nurse staffing information every day. Health 2023-09-14 2023-10-29 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-09-14 2023-10-29 N
Provide enough food/fluids to maintain a resident's health. Health 2023-09-14 2023-10-29 N
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Health 2023-09-14 2023-10-29 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-09-14 2023-10-29 N
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2023-09-14 2023-10-29 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 2023-09-14 2023-10-29 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2023-09-14 2023-10-29 N
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 2023-09-14 2023-10-29 N
Establish emergency prep training and testing. Fire Safety 2023-09-14 2023-10-29 N
Have properly located and lighted "Exit" signs. Fire Safety 2023-09-14 2023-10-29 N
Provide properly protected cooking facilities. Fire Safety 2023-09-14 2023-10-29 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-09-14 2023-10-29 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-09-14 2023-10-29 N
Provide a written emergency evacuation plan. Fire Safety 2023-09-14 2023-10-29 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-09-14 2023-10-29 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-09-14 2023-10-29 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2023-09-14 2023-10-29 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-09-14 2023-10-29 N
Address subsistence needs for staff and patients. Fire Safety 2023-09-14 2023-10-29 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-09-14 2023-10-29 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-07-22 2022-09-02 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2022-07-22 2022-09-02 N
Assess the resident when there is a significant change in condition Health 2022-07-22 2022-09-02 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2022-07-22 2022-09-02 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2022-07-22 2022-09-02 N
Ensure each resident receives an accurate assessment. Health 2022-07-22 2022-09-02 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-07-22 2022-09-02 N
Provide activities to meet all resident's needs. Health 2022-07-22 2022-09-02 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-07-22 2022-09-02 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-07-22 2022-09-02 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-07-22 2022-09-02 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-07-22 2022-09-02 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 2022-07-22 2022-09-02 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-07-22 2022-09-02 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2022-07-22 2022-09-02 N
Dispose of garbage and refuse properly. Health 2022-07-22 2022-09-02 N
Provide and implement an infection prevention and control program. Health 2022-07-22 2022-09-02 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2022-07-22 2022-09-02 N
Meet other general requirements that are deficient. Fire Safety 2022-07-22 2022-09-02 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 2022-07-22 2022-09-02 N
Meet other general requirements that are deficient. Fire Safety 2022-07-22 2022-09-02 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-07-22 2022-09-02 N
Establish policies and procedures including evacuation. Fire Safety 2022-07-22 2022-09-02 N
Address subsistence needs for staff and patients. Fire Safety 2022-07-22 2022-09-02 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-07-22 2022-09-02 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-07-22 2022-09-02 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2022-07-22 2022-09-02 N
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 2022-07-22 2022-09-02 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-07-22 2022-09-02 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-07-22 2022-09-02 N
Meet requirements for the use of electrical equipment. Fire Safety 2022-07-22 2022-09-02 N
Ensure residents have reasonable access to and privacy in their use of communication methods. Health 2022-07-22 2022-09-02 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 2022-07-22 2022-09-02 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 2022-07-22 2022-09-02 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-07-22 2022-09-02 N
Provide properly protected cooking facilities. Fire Safety 2022-07-22 2022-09-02 N

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