Deficiency Records for Summit Acres Nursing Home
Updated as of August 01, 2020
This is not the most recent data for Summit Acres Nursing Home. For the most recent information, click here.
A list of the most recent deficiencies for Summit Acres Nursing Home. 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 receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-12-16 | 2020-01-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-16 | 2020-01-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-22 | 2020-01-17 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-12-22 | 2020-01-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-12-22 | 2020-01-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-22 | 2020-01-17 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-12-22 | 2020-01-17 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2019-12-22 | 2020-01-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-12-22 | 2020-01-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-22 | 2020-01-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-22 | 2020-01-17 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-12-22 | 2020-01-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-22 | 2020-01-17 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-12-22 | 2020-01-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-12-22 | 2020-01-17 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-12-22 | 2020-01-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-12-22 | 2020-01-17 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2019-12-22 | 2020-01-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-22 | 2020-01-17 | 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 | 2019-12-22 | 2020-01-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-22 | 2020-01-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-22 | 2020-01-17 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-12-22 | 2020-01-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-15 | 2019-10-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-09-11 | 2019-10-24 | Y |
| 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 | 2019-09-11 | 2019-10-24 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-09-11 | 2019-10-24 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-09-11 | 2019-10-24 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-11 | 2019-10-24 | Y |
| 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 | 2019-08-14 | 2019-08-14 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-06-27 | 2019-07-26 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-06-27 | 2019-07-26 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-04-16 | 2019-05-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-04-16 | 2019-05-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-04-16 | 2019-05-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-16 | 2019-05-16 | 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 | 2019-04-16 | 2019-05-16 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2019-02-26 | 2019-03-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-26 | 2019-03-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-02-28 | 2019-03-21 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-02-28 | 2019-03-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-28 | 2019-03-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-28 | 2019-03-21 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-02-28 | 2019-03-21 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-02-28 | 2019-03-21 | 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 | 2019-02-28 | 2019-03-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-28 | 2019-03-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-01-03 | 2019-01-31 | Y |
| 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 | 2018-08-07 | 2018-08-28 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-08-07 | 2018-08-28 | 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 | 2018-08-07 | 2018-08-28 | Y |
| Post nurse staffing information every day. | Health | 2018-08-07 | 2018-08-28 | Y |
| 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 | 2018-08-07 | 2018-08-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-08-07 | 2018-08-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-25 | 2018-08-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-25 | 2018-08-28 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-07-25 | 2018-08-28 | Y |
| 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 | 2018-04-05 | 2018-05-04 | 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 | 2018-04-05 | 2018-05-04 | Y |
| Post nurse staffing information every day. | Health | 2018-04-05 | 2018-05-04 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-01-08 | 2018-01-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-01-08 | 2018-01-31 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-01-08 | 2018-01-31 | 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 | 2018-01-11 | 2018-01-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-01-11 | 2018-01-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-01-11 | 2018-01-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-01-11 | 2018-01-31 | 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 | 2018-01-11 | 2018-01-31 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-01-11 | 2018-01-31 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-01-11 | 2018-01-31 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2017-12-27 | 2018-01-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2017-12-27 | 2018-01-11 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2017-12-27 | 2018-01-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2017-12-27 | 2018-01-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2017-12-27 | 2018-01-11 | 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 | 2017-12-27 | 2018-01-11 | Y |
