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SUMMIT HILLS SKILLED NURSING FACILITY

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SUMMIT HILLS SKILLED NURSING FACILITY VS
Nursing Homes USA
General
City SPARTANBURG   0.1% Nursing Homes USA have SPARTANBURG
State attribute explanation SC   1.2% Nursing Homes USA have SC
Street 110 SUMMIT HILLS DRIVE  
Zip Code 29307  
Phone 8645912222  
Overall Star Rating
3.11
Health Inspections Star Rating
2.83
Nurse Staffing Star Rating
3.17
Quality Measures Star Rating
3.31
RN Only Star Rating
3.17
Number of Certified Beds
27 
108.94
Total Number of Residents
19 
91.25
Percent of Occupied Beds
70 %
83.65 %
Health Survey Date 11/8/2011  
Fire Survey Date 10/13/2011  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare  5% Nursing Homes USA have Medicare
Type of Ownership For Profit - Corporation  56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? Yes  9.1% Nursing Homes USA have Continuing Care Retirement Community?
Quality Indicator Survey? No  68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
58.16
Total Enforcement Actions Count
56.31
# of deficiencies
10 
7.48
Staff Information
Number of Residents
19 
91.38
Number of RN Hours Per Resident Per Day
1.35 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.38 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
2.74 
1.59
Number of CNA Hours Per Resident Per Day
0.75 
5.49
Number Therapy Hours Per Resident Per Day
0.75 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 10/07/2009
date Of Correction: 11/12/2009 
Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 11/08/2011
date Of Correction: 12/16/2011 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.
survey Date: 10/07/2009
date Of Correction: 11/12/2009 
Quality Care Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 4
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 11/08/2011
date Of Correction: 12/16/2011 
Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 10/07/2009
date Of Correction: 11/12/2009 
Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 4
deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.
survey Date: 11/08/2011
date Of Correction: 12/16/2011 
Deficiency #2 Scope: Many
level Of Harm: 4
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 11/08/2011
date Of Correction: 12/16/2011 
Deficiency #3 Scope: Many
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 11/08/2011
date Of Correction: 12/16/2011 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 4
deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor.
survey Date: 11/08/2011
date Of Correction: 12/16/2011 
Deficiency #2 Scope: Many
level Of Harm: 4
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 11/08/2011
date Of Correction: 12/16/2011 
Quality Measures Q1
Percent of long-stay residents whose need for help with daily activities has increased
1.6 %
32.95 %
Percent of short-stay residents who self-report moderate to severe pain
5.2 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
93.5 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
96.8 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 
45.90
Quality Measures Q3
Percent of long-stay residents whose need for help with daily activities has increased
0.8 %
23.70 %
Percent of short-stay residents who self-report moderate to severe pain
6.1 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
87.9 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
95 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
5 %
17.34 %

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