SUMMIT HEALTHCARE

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Oklahoma are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 02/04/2011.

Administration

Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Inspection Date: 11/10/2009 Correction Date: 01/26/2010
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 02/04/2011 Correction Date: 03/31/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 11/10/2009 Correction Date: 12/23/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 11/10/2009 Correction Date: 01/26/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 02/04/2011 Correction Date: 03/31/2011
Provide Clean Bed and Bath Linens That Are in Good Condition. Inspection Date: 02/04/2011 Correction Date: 03/31/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 02/04/2011 Correction Date: 03/31/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 02/04/2011 Correction Date: 03/31/2011
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 02/04/2011 Correction Date: 03/31/2011

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 11/10/2009 Correction Date: 12/23/2009

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 02/04/2011 Correction Date: 03/31/2011
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 02/04/2011 Correction Date: 03/31/2011

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 11/10/2009 Correction Date: 12/23/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 02/04/2011 Correction Date: 03/31/2011

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
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. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing. Inspection Date: 11/10/2009 Correction Date: 12/23/2009
Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner. Inspection Date: 02/04/2011 Correction Date: 03/31/2011
Do an Assessment of the Resident Every Year. Inspection Date: 02/04/2011 Correction Date: 03/31/2011
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 02/04/2011 Correction Date: 03/31/2011
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 02/04/2011 Correction Date: 03/31/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 02/04/2011 Correction Date: 03/31/2011
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. Inspection Date: 02/04/2011 Correction Date: 03/31/2011
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing. Inspection Date: 02/04/2011 Correction Date: 03/31/2011

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 11/10/2009 Correction Date: 12/23/2009
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Inspection Date: 02/04/2011 Correction Date: 03/31/2011

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

The table below lists incident reports by the nursing staff or administration for Summit Healthcare, as well as complaints by residents or their family in the previous three years.

Administration

Keep Accurate and Appropriate Medical Records. Complaint Filed: 03/03/2010 Correction Date: 04/17/2010

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 03/03/2010 Correction Date: 04/17/2010
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Complaint Filed: 03/03/2010 Correction Date: 04/17/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 07/13/2010 Correction Date: 08/27/2010

Resident Assessment

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. Complaint Filed: 03/03/2010 Correction Date: 04/17/2010
Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner. Complaint Filed: 07/13/2010 Correction Date: 08/27/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Complaint Filed: 07/13/2010 Correction Date: 10/12/2010

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Summit Healthcare had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 02/03/2011.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 02/03/2011 Correction Date: 03/31/2011

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 11/12/2009 Correction Date: 12/23/2009

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 11/12/2009 Correction Date: 12/23/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 02/03/2011 Correction Date: 02/17/2011

Electrical

Proper Power Supply for Life Support Equipment. Inspection Date: 09/11/2008 Correction Date: 10/27/2008
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 09/11/2008 Correction Date: 10/27/2008
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 02/03/2011 Correction Date: 03/21/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 11/12/2009 Correction Date: 12/23/2009

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 11/12/2009 Correction Date: 12/23/2009

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 11/12/2009 Correction Date: 12/23/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 09/11/2008 Correction Date: 10/27/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 11/12/2009 Correction Date: 12/23/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 02/03/2011 Correction Date: 03/31/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 02/03/2011 Correction Date: 02/18/2011