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Lee's Summit Pointe Health & Rehabilitation

Inspection Results

Nursing Homes Missouri Lees Summit Lee's Summit Pointe Health & Rehabilitation

Lee's Summit Pointe Health & Rehabilitation has been cited for a total of 83 deficiencies in our most recent deficiency data, which typically covers 3 health and fire safety surveys.

Tip: Surveys happen throughout the year and you may want to check with the location or here to see if more recent data is available for Lee's Summit Pointe Health & Rehabilitation.

There are 522 nursing homes in Missouri with a total of 20,089 deficiencies resulting in an average of 38.48 deficiencies per nursing home.

The following table describes how deficiencies are scored. An easy way to remember the severity of a deficiency's scope is that the further along in the alphabet (A through L) the scope value is, the more severe the deficiency is.
Additionally, A through F means no actual harm has happened.

Table describing the severity and scope of deficiencies

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Deficiency Cited, Scope, and Date of Correction
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
11-11-2019
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
11-11-2019
PASARR screening for Mental disorders or Intellectual Disabilities
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
11-11-2019
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
11-11-2019
Ensure services provided by the nursing facility meet professional standards of quality.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
E
Corrected:
11-11-2019
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
11-11-2019
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Category:
Pharmacy Service Deficiencies
Scope:
E
Corrected:
11-11-2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category:
Nutrition and Dietary Deficiencies
Scope:
F
Corrected:
11-11-2019
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Category:
Nutrition and Dietary Deficiencies
Scope:
E
Corrected:
11-11-2019
Provide and implement an infection prevention and control program.
Category:
Infection Control Deficiencies
Scope:
D
Corrected:
11-11-2019
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.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
11-11-2019
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Category:
Resident Rights Deficiencies
Scope:
E
Corrected:
11-11-2019
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.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
11-11-2019
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
11-11-2019
Plan the resident's discharge to meet the resident's goals and needs.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
11-11-2019
Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Category:
Quality of Life and Care Deficiencies
Scope:
J
Corrected:
12-27-2019
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
02-01-2019
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
D
Corrected:
02-01-2019
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Category:
Resident Rights Deficiencies
Scope:
E
Corrected:
02-01-2019
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.
Category:
Resident Rights Deficiencies
Scope:
E
Corrected:
02-01-2019
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
02-01-2019
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
02-01-2019
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
02-01-2019
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
E
Corrected:
02-01-2019
Ensure services provided by the nursing facility meet professional standards of quality.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
02-01-2019
Provide routine and 24-hour emergency dental care for each resident.
Category:
Quality of Life and Care Deficiencies
Scope:
E
Corrected:
02-01-2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category:
Nutrition and Dietary Deficiencies
Scope:
F
Corrected:
02-01-2019
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Category:
Nutrition and Dietary Deficiencies
Scope:
E
Corrected:
02-01-2019
Provide and implement an infection prevention and control program.
Category:
Infection Control Deficiencies
Scope:
E
Corrected:
02-01-2019
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
04-25-2018
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Category:
Resident Rights Deficiencies
Scope:
E
Corrected:
04-25-2018
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.
Category:
Resident Rights Deficiencies
Scope:
E
Corrected:
04-25-2018
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
E
Corrected:
04-25-2018
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
E
Corrected:
04-25-2018
Ensure services provided by the nursing facility meet professional standards of quality.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
04-25-2018
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
04-25-2018
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
04-25-2018
Provide enough food/fluids to maintain a resident's health.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
04-25-2018
Provide safe and appropriate respiratory care for a resident when needed.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
04-25-2018
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
04-25-2018
Ensure medication error rates are not 5 percent or greater.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
04-25-2018
Ensure that residents are free from significant medication errors.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
06-06-2018
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Category:
Nutrition and Dietary Deficiencies
Scope:
D
Corrected:
04-25-2018
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Category:
Nutrition and Dietary Deficiencies
Scope:
D
Corrected:
04-25-2018
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category:
Nutrition and Dietary Deficiencies
Scope:
E
Corrected:
04-25-2018
Provide and implement an infection prevention and control program.
Category:
Infection Control Deficiencies
Scope:
D
Corrected:
04-25-2018
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Category:
Environmental Deficiencies
Scope:
E
Corrected:
04-25-2018
Establish an Emergency Preparedness Program (EP).
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
11-11-2019
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Category:
Egress Deficiencies
Scope:
E
Corrected:
11-11-2019
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
11-11-2019
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Category:
Smoke Deficiencies
Scope:
F
Corrected:
11-11-2019
Install an approved automatic sprinkler system.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
11-11-2019
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Category:
Miscellaneous Deficiencies
Scope:
D
Corrected:
11-11-2019
Ensure proper usage of power strips and extension cords.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
E
Corrected:
11-11-2019
Conduct risk assessment and an All-Hazards approach.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
02-01-2019
Establish policies and procedures for sheltering.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
02-01-2019
Provide emergency officials contact information.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
02-01-2019
Establish staff and initial training requirements.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
02-01-2019
Install emergency lighting that can last at least 1 1/2 hours.
Category:
Egress Deficiencies
Scope:
F
Corrected:
02-01-2019
Provide properly protected cooking facilities.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
02-01-2019
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Category:
Smoke Deficiencies
Scope:
F
Corrected:
02-01-2019
Have simulated fire drills held at unexpected times.
Category:
Miscellaneous Deficiencies
Scope:
F
Corrected:
02-01-2019
Have generator or other power source capable of supplying service within 10 seconds.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
02-01-2019
Meet other general requirements that are deficient.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
02-01-2019
Ensure proper usage of power strips and extension cords.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
D
Corrected:
02-01-2019
Address patient/client population and determine types of services needed.
Category:
Emergency Preparedness Deficiencies
Scope:
D
Corrected:
04-25-2018
Address subsistence needs for staff and patients.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
04-25-2018
Establish policies and procedures for sheltering.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
04-25-2018
Establish policies and procedures for medical documentation.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
04-25-2018
Establish emergency prep training and testing.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
04-25-2018
Use approved construction type or materials.
Category:
Construction Deficiencies
Scope:
E
Corrected:
04-25-2018
Have exits that are accessible at all times.
Category:
Egress Deficiencies
Scope:
F
Corrected:
04-25-2018
Meet other general requirements that are deficient.
Category:
Egress Deficiencies
Scope:
D
Corrected:
04-25-2018
Ensure that laboratories employing quantities of flammable, combustible, or hazardous materials have fire resistant walls and automatic sprinkler system.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
04-25-2018
Provide properly protected cooking facilities.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
04-25-2018
Have approved installation, maintenance and testing program for fire alarm systems.
Category:
Smoke Deficiencies
Scope:
F
Corrected:
04-25-2018
Inspect, test, and maintain automatic sprinkler systems.
Category:
Smoke Deficiencies
Scope:
F
Corrected:
04-25-2018
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Category:
Smoke Deficiencies
Scope:
F
Corrected:
04-25-2018
Have simulated fire drills held at unexpected times.
Category:
Miscellaneous Deficiencies
Scope:
F
Corrected:
04-25-2018
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Category:
Miscellaneous Deficiencies
Scope:
D
Corrected:
04-25-2018
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
04-25-2018
Have generator or other power source capable of supplying service within 10 seconds.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
04-25-2018
Ensure that testing and maintenance of electrical equipment is performed.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
04-25-2018

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Lee's Summit Pointe Health & Rehabilitation

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