| Percent of High Risk Long Term Nursing Home Residents Who Have Pressure Sores: 23% |
| Percent of Long Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: 90+% |
| Percent of Long Term Nursing Home Residents Who are More Depressed or Anxious: 21% |
| Percent of Long Term Nursing Home Residents Who Have Moderate to Severe Pain: 17% |
| Percent of Long Term Nursing Home Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 10% |
| Percent of Long Term Nursing Home Residents Who Lose Too Much Weight: 10% |
| Percent of Long Term Nursing Home Residents Who Spend Most of Their Time in Bed or in a Chair: 20% |
| Percent of Long Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: 90+% |
| Percent of Long Term Nursing Home Residents Who Were Physically Restrained: 11% |
| Percent of Long Term Nursing Home Residents Whose Ability to Move About in and Around Their Room Got Worse: 30% |
| Percent of Long Term Nursing Home Residents Whose Need for Help With Daily Activities Has Increased: 20% |
| Percent of Long Term Nursing Home Residents With a Urinary Tract Infection: 23% |
| Percent of Low-Risk Long Term Nursing Home Residents Who Have Pressure Sores: 7% |
| Percent of Low-Risk Long Term Nursing Home Residents Who Lose Control of Their Bowels or Bladder: 70% |
| Percent of Short Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: 77% |
| Percent of Short Term Nursing Home Residents Who Had Moderate to Severe Pain: 36% |
| Percent of Short Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: 74% |
| Percent of Short Term Nursing Home Residents With Delirium: 1% |
| Percent of Short Term Nursing Home Residents With Pressure Sores: 21% |
Nursing Home Violations by Summerfield Health and Rehabilitation Center
|
| Health Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Pharmacy Service Deficiencies |
12/09/2004 |
Properly mark drugs and other similar products. |
Isolated |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
12/09/2004 |
Keep drugs and other similar products locked safely and properly stored. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
12/09/2004 |
Give each resident care and services to get or keep the highest quality of life possible. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
12/09/2004 |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
12/09/2004 |
Do a new assessment after any major change in a resident's physical or mental health. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
12/09/2004 |
1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
12/09/2004 |
Make sure that doctors visit residents regularly, as required. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
09/23/2005 |
Make sure there is a program to prevent/deal with mice, insects, or other pests. |
Widespread |
Minimal harm or potential for actual harm |
| Mistreatment Deficiencies |
09/23/2005 |
Keep each resident free from physical restraints, unless needed for medical treatment. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
08/03/2006 |
Provide needed housekeeping and maintenance. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
08/03/2006 |
Keep temperature levels comfortable and safe. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
08/03/2006 |
Put firmly secured handrails on each side of hallways. |
Widespread |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
08/03/2006 |
Make sure there is a program to prevent/deal with mice, insects, or other pests. |
Widespread |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
08/03/2006 |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
08/03/2006 |
Properly mark drugs and other similar products. |
Isolated |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
08/03/2006 |
Keep drugs and other similar products locked safely and properly stored. |
Widespread |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
08/03/2006 |
Do a new assessment after any major change in a resident's physical or mental health. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
08/03/2006 |
Check and update (if needed) each resident's assessment every 3 months. |
Isolated |
Minimal harm or potential for actual harm |
| Fire Safety Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Electrical Deficiencies |
12/08/2004 |
properly installed electrical wiring and equipment. |
Isolated |
Minimal harm or potential for actual harm |
| Exits and Egress Deficiencies |
12/08/2004 |
exits that are accessible at all times. |
Isolated |
Minimal harm or potential for actual harm |
| Medical Gases and Anesthetizing Areas Deficiencies |
12/08/2004 |
no-smoking signs where oxygen is used. |
Isolated |
Minimal harm or potential for actual harm |
| Smoke Compartmentation and Control Deficiencies |
12/08/2004 |
smoke barrier doors that can resist smoke for at least 20 minutes. |
Isolated |
Minimal harm or potential for actual harm |
| Vertical Openings Deficiencies |
12/08/2004 |
proper stairway enclosures and vertical shafts. |
Pattern |
Minimal harm or potential for actual harm |
| Vertical Openings Deficiencies |
12/08/2004 |
exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors. |
Isolated |
Minimal harm or potential for actual harm |
| Corridor Walls and Doors Deficiencies |
09/22/2005 |
corridor and hallway doors that block smoke. |
Widespread |
Minimal harm or potential for actual harm |
| Vertical Openings Deficiencies |
09/22/2005 |
proper stairway enclosures and vertical shafts. |
Pattern |
Minimal harm or potential for actual harm |
| Building Service Equipment Deficiencies |
08/01/2006 |
properly protected cooking facilities. |
Widespread |
Minimal harm or potential for actual harm |
| Corridor Walls and Doors Deficiencies |
08/01/2006 |
corridor and hallway doors that block smoke. |
Isolated |
Minimal harm or potential for actual harm |
| Medical Gases and Anesthetizing Areas Deficiencies |
08/01/2006 |
proper medical gas storage and administration areas. |
Pattern |
Minimal harm or potential for actual harm |
