A list of the most recent deficiencies for Sumner Place. 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? |
|---|---|---|---|---|
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-07-25 | 2023-09-08 | 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 | 2023-07-25 | 2023-09-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-25 | 2023-09-08 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-07-20 | 2023-08-31 | 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 | 2023-07-20 | 2023-08-31 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-07-20 | 2023-08-31 | 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 | 2023-07-20 | 2023-08-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-20 | 2023-08-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-20 | 2023-08-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-20 | 2023-08-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-20 | 2023-08-31 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-07-20 | 2023-08-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-20 | 2023-08-31 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-07-20 | 2023-08-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-20 | 2023-08-31 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-07-20 | 2023-08-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-20 | 2023-08-31 | 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 | 2022-04-14 | 2022-06-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-14 | 2022-06-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-14 | 2022-06-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-14 | 2022-06-15 | 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 | 2022-04-19 | 2022-05-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-19 | 2022-05-27 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-04-19 | 2022-05-27 | 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 | 2022-04-19 | 2022-05-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-09-08 | 2020-10-16 | 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 | 2020-09-08 | 2020-10-16 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2020-09-08 | 2020-10-16 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2020-09-08 | 2020-10-16 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-09-03 | 2020-10-16 | 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 | 2020-09-03 | 2020-10-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-03 | 2020-10-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-09-03 | 2020-10-16 | N |
