Deficiency Records for Summerstone Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Summerstone Health and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-11-28 | 2024-01-12 | 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 | 2023-11-28 | 2024-01-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-28 | 2024-01-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-11-28 | 2024-01-12 | 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 | 2023-10-27 | 2023-11-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-27 | 2023-11-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-27 | 2023-11-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-10-27 | 2023-11-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-27 | 2023-10-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-02 | 2023-02-07 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-02-02 | 2023-02-07 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-02-02 | 2023-02-07 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-02-02 | 2023-02-04 | Y |
| 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 | 2022-08-23 | 2022-11-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-23 | 2022-11-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-23 | 2022-11-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-23 | 2022-11-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-23 | 2022-11-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-23 | 2022-11-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-27 | 2022-10-17 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-07-21 | 2022-08-18 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-07-21 | 2022-08-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-21 | 2022-08-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-21 | 2022-08-18 | 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 | 2022-07-21 | 2022-08-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-21 | 2022-08-18 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-07-21 | 2022-08-18 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-07-21 | 2022-08-18 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-07-21 | 2022-08-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-21 | 2022-08-18 | Y |
| 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 | 2022-07-21 | 2022-08-18 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-21 | 2022-08-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-21 | 2022-08-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-21 | 2022-08-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-21 | 2022-08-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-21 | 2022-08-18 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-21 | 2022-08-18 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-07-21 | 2022-08-18 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-07-21 | 2022-08-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-07-21 | 2022-08-18 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-07-21 | 2022-08-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-21 | 2022-08-18 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2022-07-21 | 2022-08-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-01 | 2021-12-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-08 | 2021-12-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-08 | 2021-12-01 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-10-08 | 2021-12-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-09 | 2021-10-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-01 | 2021-06-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-27 | 2021-06-21 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-05-27 | 2021-06-21 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-05-27 | 2021-06-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-27 | 2021-06-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-05-27 | 2021-06-21 | 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 | 2021-05-27 | 2021-06-21 | N |
| Dispose of garbage and refuse properly. | Health | 2021-05-27 | 2021-06-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-27 | 2021-06-21 | 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 | 2021-05-27 | 2021-06-21 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-05-27 | 2021-06-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-27 | 2021-06-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-27 | 2021-06-21 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2021-05-27 | 2021-06-21 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-27 | 2021-06-21 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-04-01 | 2021-04-29 | Y |
| Post nurse staffing information every day. | Health | 2021-04-01 | 2021-04-29 | Y |
