Deficiency Records for The Summit
Updated as of July 01, 2018
This is not the most recent data for The Summit. For the most recent information, click here.
A list of the most recent deficiencies for The Summit. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-08-25 | 2017-10-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-08-25 | 2017-10-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-08-25 | 2017-10-06 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-08-25 | 2017-10-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-08-25 | 2017-10-06 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2017-08-25 | 2017-10-06 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-25 | 2017-10-06 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-08-25 | 2017-10-06 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-08-25 | 2017-10-06 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-25 | 2017-10-06 | N |
| Approved construction type or materials. | Fire Safety | 2016-08-05 | 2016-09-16 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-08-05 | 2016-09-16 | N |
| Restrictions on the use of flammable curtains. | Fire Safety | 2016-08-05 | 2016-09-16 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-08-05 | 2016-09-16 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-08-05 | 2016-09-16 | N |
| Provide housekeeping and maintenance services. | Health | 2016-08-05 | 2016-09-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-08-05 | 2016-09-16 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2016-08-05 | 2016-09-16 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-08-05 | 2016-09-16 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-08-05 | 2016-09-16 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-08-05 | 2016-09-16 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-08-05 | 2016-09-16 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-08-05 | 2016-09-16 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-08-05 | 2016-09-16 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-08-05 | 2016-09-16 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2016-08-05 | 2016-09-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-04-20 | 2016-06-21 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-05-10 | 2016-06-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-05-10 | 2016-06-15 | Y |
| Approved construction type or materials. | Fire Safety | 2015-08-28 | 2015-10-12 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-08-28 | 2015-10-12 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-08-28 | 2015-10-12 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2015-08-28 | 2015-10-12 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-08-28 | 2015-10-12 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2015-08-28 | 2015-10-12 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-08-28 | 2015-10-12 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2015-08-28 | 2015-10-12 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-08-28 | 2015-10-12 | N |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2015-08-28 | 2015-10-12 | N |
| Proper facilities for the use and storage of combustible liquids. | Fire Safety | 2015-08-28 | 2015-10-12 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-08-28 | 2015-10-12 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-08-28 | 2015-10-12 | N |
| Provide housekeeping and maintenance services. | Health | 2015-08-28 | 2015-10-12 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-08-28 | 2015-10-12 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-08-28 | 2015-10-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-08-28 | 2015-10-12 | N |
| Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. | Health | 2015-08-28 | 2015-10-12 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2015-08-28 | 2015-10-12 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2015-08-28 | 2015-10-12 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-08-28 | 2015-10-12 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2015-08-28 | 2015-10-12 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-08-28 | 2015-10-12 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2015-08-28 | 2015-10-12 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-08-28 | 2015-10-12 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-08-28 | 2015-10-12 | N |
| Ensure that all nurse aides who have worked less than 4 months are enrolled in appropriate training or have been deemed competent to provide nursing and nursing related services. | Health | 2015-08-28 | 2015-10-12 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2015-08-28 | 2015-10-12 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2015-08-28 | 2015-10-12 | N |
| Try to resolve each resident's complaints quickly. | Health | 2015-08-28 | 2015-10-12 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-08-28 | 2015-10-12 | Y |
| Evaluate a resident?s decrease in social interaction or increase in depressive behaviors and determine if the behavioral changes were avoidable if these problems did not exist before. | Health | 2015-08-28 | 2015-10-12 | Y |
