Deficiencies (last 4 years)
Deficiencies (over 4 years)
2.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
49% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
50% occupied
Based on a March 2022 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Census: 26
Deficiencies: 1
Date: Mar 17, 2022
Visit Reason
The inspection was conducted to assess compliance with oxygen storage requirements under NFPA 99, 1999 Edition, at Summitview Terrace Assisted Living.
Findings
The facility failed to provide proper storage for oxygen in accordance with NFPA 99, 1999 Edition. Observations showed improper storage of oxygen bottles and a refill station in a resident room.
Deficiencies (1)
19 CSR 30-86.022(17) Oxygen Storage Requirements: The facility failed to provide proper oxygen storage per NFPA 99, 1999 Edition. Observation showed a concentrator refill station and 16 oxygen bottles stored in resident Room 121.
Report Facts
Facility census: 26
Oxygen bottles observed: 16
Inspection Report
Census: 33
Deficiencies: 1
Date: Feb 18, 2020
Visit Reason
The inspection visit was conducted as part of the licensure inspection focusing on fire safety compliance.
Findings
The facility failed to maintain the complete fire alarm system in accordance with NFPA 72, 1999 edition. A trouble signal was observed on the fire alarm system annunciator panel due to a burned-out screen LED and a secondary phone line fault.
Deficiencies (1)
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain. The facility failed to maintain the complete fire alarm system as required by NFPA 72, 1999 edition. A trouble signal was observed on the fire alarm annunciator panel caused by a burned-out screen LED and a secondary phone line problem.
Report Facts
Facility census: 33
Inspection Report
Plan of Correction
Census: 36
Deficiencies: 1
Date: Feb 8, 2019
Visit Reason
The visit was a follow-up inspection related to fire safety and sprinkler system compliance.
Findings
The facility had not completed the required sprinkler system installation as of the inspection date. The piping was not fully connected to the sprinkler system inside the building, with an estimated 18-inch section of piping yet to be added.
Deficiencies (1)
19 CSR 30-86.022(11)(A) Complete Sprinkler System-NFPA 13. The facility had not completed the sprinkler system installation as required by NFPA 13. The piping was not hooked up inside the building, with an 18-inch section of piping still missing.
Report Facts
Facility Census: 36
Inspection Report
Plan of Correction
Census: 34
Deficiencies: 8
Date: Jul 18, 2018
Visit Reason
The inspection was conducted to identify deficiencies related to fire drills, fire alarm system maintenance, fire watch procedures, hazardous area requirements, door devices, sprinkler systems, curtains/drapes flame resistance, and electrical wiring at Summitview Terrace Assisted Living.
Findings
The facility failed to properly conduct and document required fire drills, maintain the fire alarm system according to NFPA standards, implement fire watch during alarm outages, ensure hazardous area doors self-close, maintain door devices, install a complete sprinkler system, certify curtains as flame resistant, and maintain electrical wiring in good repair. These deficiencies affected all 34 residents.
Deficiencies (8)
19 CSR 30-86.022(5)(D) Fire Drill Requirements, Evacuation. The facility failed to properly conduct and document monthly fire drills; the census was 34 residents.
19 CSR 30-86.022(9)(C) Fire Alarm System-Test/Maintain. The facility failed to maintain the complete fire alarm system in accordance with NFPA 72, 1999 edition, affecting all 34 residents.
19 CSR 30-86.022(9)(H) Fire Alarm System Out of Service > than 4hrs. The facility failed to begin a fire watch when the fire alarm system was out of service for an unknown period, affecting all 34 residents.
19 CSR 30-86.022(10)(A) Hazardous Area Requirements. The facility failed to ensure all doors to hazardous areas were self-closing and latching, affecting all 34 residents.
19 CSR 30-86.022(10)(G) Door Devices - Self/Auto closing. The facility failed to ensure all doors providing separation between floors had self-closing devices, affecting all 34 residents.
19 CSR 30-86.022(11)(A) Complete Sprinkler System-NFPA 13. The facility failed to install and maintain a complete sprinkler system as required, affecting all 34 residents.
19 CSR 30-86.022(13)(D) Curtains/Drapes, Flame Resistant. The facility failed to ensure all curtains and drapes were certified or treated to be flame-resistant, affecting all 34 residents.
19 CSR 30-86.032(13) Electrical Wiring, Maintained, Inspected. The facility failed to maintain all electrical wiring in good repair, creating potential electrical hazards affecting all 34 residents.
Report Facts
Fire drills required annually: 12
Residents affected: 34
Fire alarm system outage duration: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paul Sasser | Administrator | Signed the statement of deficiencies and plan of correction. |
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