A list of the most recent deficiencies for Complete Care at Summit Ridge. 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? |
|---|---|---|---|---|
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-04-04 | 2023-05-10 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-04-04 | 2023-05-02 | N |
| Have an externally vented heating system. | Fire Safety | 2023-04-04 | 2023-04-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-04-04 | 2023-04-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-04 | 2023-04-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-04 | 2023-04-19 | N |
| 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 | 2023-04-04 | 2023-04-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-04 | 2023-04-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-04 | 2023-04-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-04 | 2023-04-19 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-04-04 | 2023-04-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-04 | 2023-04-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-04 | 2023-04-19 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-04-04 | 2023-04-19 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-04 | 2023-04-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-04 | 2023-04-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-04-04 | 2023-04-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-04 | 2023-04-12 | N |
| Dispose of garbage and refuse properly. | Health | 2023-04-04 | 2023-04-12 | 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 | 2023-04-04 | 2023-04-11 | 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 | 2023-04-04 | 2023-04-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-04 | 2023-04-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-04 | 2023-04-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-04 | 2023-04-05 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-04-04 | 2023-04-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-03-29 | 2021-04-19 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-03-29 | 2021-04-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-17 | 2019-07-15 | 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 | 2019-05-17 | 2019-07-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-17 | 2019-07-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-05-17 | 2019-07-15 | N |
