A list of the most recent deficiencies for Summitview Rehab and Health 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-10 | 2023-09-14 | N |
| Respond appropriately to all alleged violations. | Health | 2023-07-17 | 2023-08-18 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-07-17 | 2023-08-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-07-17 | 2023-08-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-17 | 2023-08-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-17 | 2023-08-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-07-17 | 2023-08-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-17 | 2023-08-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-17 | 2023-08-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-17 | 2023-08-15 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-07-10 | 2023-08-10 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-07-10 | 2023-08-10 | N |
| Meet other general requirements. | Fire Safety | 2023-07-10 | 2023-08-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-07-10 | 2023-08-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-10 | 2023-08-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-10 | 2023-08-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-10 | 2023-08-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-07-10 | 2023-08-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-10 | 2023-08-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-07-10 | 2023-08-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-15 | 2023-06-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-15 | 2023-06-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-07 | 2023-03-07 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-03-30 | 2022-05-13 | 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 | 2022-03-30 | 2022-05-13 | 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 | 2022-03-30 | 2022-05-13 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-03-30 | 2022-05-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-30 | 2022-05-13 | 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 | 2022-03-30 | 2022-05-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-30 | 2022-05-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-30 | 2022-05-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-30 | 2022-05-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-30 | 2022-05-13 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-03-30 | 2022-05-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-30 | 2022-05-13 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-03-30 | 2022-05-13 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-03-30 | 2022-05-13 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-03-30 | 2022-05-13 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2022-03-30 | 2022-05-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-22 | 2022-05-03 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-03-22 | 2022-04-26 | N |
| Meet other general requirements. | Fire Safety | 2022-03-22 | 2022-04-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-22 | 2022-04-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-22 | 2022-04-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-22 | 2022-04-26 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-03-22 | 2022-04-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-29 | 2022-01-07 | Y |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-09-09 | 2019-10-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-09 | 2019-10-14 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-09-12 | 2019-10-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-09-12 | 2019-10-01 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-09-12 | 2019-10-01 | N |
| 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 | 2019-09-12 | 2019-10-01 | 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 | 2019-09-12 | 2019-10-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-12 | 2019-10-01 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-09-09 | 2019-09-30 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-09-09 | 2019-09-30 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-09-09 | 2019-09-30 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-09-09 | 2019-09-19 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-09-09 | 2019-09-19 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-09-09 | 2019-09-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-09 | 2019-09-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-09-09 | 2019-09-19 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-09-09 | 2019-09-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-09 | 2019-09-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-09 | 2019-09-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-09-09 | 2019-09-19 | N |
