| Percent of High Risk Long Term Nursing Home Residents Who Have Pressure Sores: 12% |
| 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: 5% |
| Percent of Long Term Nursing Home Residents Who Have Moderate to Severe Pain: 3% |
| Percent of Long Term Nursing Home Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 11% |
| Percent of Long Term Nursing Home Residents Who Lose Too Much Weight: 16% |
| Percent of Long Term Nursing Home Residents Who Spend Most of Their Time in Bed or in a Chair: 15% |
| Percent of Long Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: 26% |
| Percent of Long Term Nursing Home Residents Who Were Physically Restrained: 12% |
| Percent of Long Term Nursing Home Residents Whose Ability to Move About in and Around Their Room Got Worse: 7% |
| Percent of Long Term Nursing Home Residents Whose Need for Help With Daily Activities Has Increased: 24% |
| Percent of Long Term Nursing Home Residents With a Urinary Tract Infection: 4% |
| Percent of Low-Risk Long Term Nursing Home Residents Who Have Pressure Sores: 0% |
| Percent of Low-Risk Long Term Nursing Home Residents Who Lose Control of Their Bowels or Bladder: 37% |
| Percent of Short Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: 90+% |
| Percent of Short Term Nursing Home Residents Who Had Moderate to Severe Pain: 21% |
| Percent of Short Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: 57% |
| Percent of Short Term Nursing Home Residents With Delirium: 0% |
| Percent of Short Term Nursing Home Residents With Pressure Sores: 7% |
Nursing Home Violations by Summit Retirement Center
|
| Health Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Administration Deficiencies |
12/11/2003 |
Keep accurate and appropriate medical records. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
12/11/2003 |
Make sure that a working call system is available in each resident's room or bathroom and bathing area. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
12/11/2003 |
Give professional services that follow each resident's written care plan. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
10/14/2004 |
Provide activities to meet the needs of each resident. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
10/14/2004 |
Give professional services that follow each resident's written care plan. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
10/14/2004 |
Make sure that each residents' abilities to take care of themselves does not lessen, unless a change cannot be avoided. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
10/14/2004 |
Give each resident a special diet to help when there is a nutritional problem. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
10/14/2004 |
Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. |
Isolated |
Minimal harm or potential for actual harm |
| Administration Deficiencies |
12/22/2005 |
Make sure that nurse aides show they have the skills to be able to care for residents. |
Isolated |
Minimal harm or potential for actual harm |
| Administration Deficiencies |
12/22/2005 |
Keep accurate and appropriate medical records. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
12/22/2005 |
Keep temperature levels comfortable and safe. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
12/22/2005 |
Make sure that the nursing home area is free of dangers that cause accidents. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
12/22/2005 |
Have a program to keep infection from spreading. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
12/22/2005 |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
12/22/2005 |
Give professional services that follow each resident's written care plan. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
12/22/2005 |
Give each resident care and services to get or keep the highest quality of life possible. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
12/22/2005 |
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 Rights Deficiencies |
12/22/2005 |
Provide care in a way that keeps or builds each resident's dignity and self respect. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
12/22/2005 |
Make sure that private space is available in the nursing home for resident groups or residents' families to meet. |
Pattern |
Potential for minimal harm |
| Fire Safety Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Corridor Walls and Doors Deficiencies |
12/09/2003 |
corridor and hallway doors that block smoke. |
Widespread |
Potential for minimal harm |
| Exits and Egress Deficiencies |
12/09/2003 |
exits that are accessible at all times. |
Widespread |
Potential for minimal harm |
| Fire Alarm Systems Deficiencies |
12/09/2003 |
a fire alarm system that can be heard throughout the facility. |
Widespread |
Potential for minimal harm |
| Hazardous Area Deficiencies |
12/09/2003 |
construction that can resist fire for one hour or an approved fire extinguishing system. |
Widespread |
Potential for minimal harm |
| Illumination and Emergency Power Deficiencies |
12/09/2003 |
emergency lighting that can last at least 1 1/2 hours. |
Widespread |
Potential for minimal harm |
| Corridor Walls and Doors Deficiencies |
10/12/2004 |
corridors that are separated from common areas by walls constructed to limit the passage of smoke. |
Widespread |
Potential for minimal harm |
| Building Service Equipment Deficiencies |
12/20/2005 |
properly protected cooking facilities. |
Isolated |
Minimal harm or potential for actual harm |
| Smoke Compartmentation and Control Deficiencies |
12/20/2005 |
proper construction of ducts through walls designed to prevent smoke passage. |
Widespread |
Potential for minimal harm |
| Smoking Regulations Deficiencies |
12/20/2005 |
posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed. |
Isolated |
Minimal harm or potential for actual harm |
