New Summit Rehabilitation and Healthcare

In the surveyor’s words

From the most serious findings on record at New Summit Rehabilitation and Healthcare, in the surveyor’s own words.

• Actual harm, isolatedF689Jun 11, 2025

  Based on observation, interview and record review the facility failed to have fall interventions in place for a resident at risk for fall and failed to ensure a resident was transferred safely for 2 of 20 residents (R33 and R36) reviewed for safety and supervision in the sample of 20. This failure resulted in R36 falling and sustaining a right ankle fracture that required surgical repair. The finding include: 1. R36's Face Sheet shows that she admitted to the facility on [DATE] with diagnoses of: cellulitis of right and left lower limbs, unsteadiness of feet, abnormalities of gait, reduced mobility and morbid obesity. R36's Functional Status Note dated 4/29/25 shows that R36 requires partial/moderate assistance to stand from sitting and transfer from bed to chair. […]

• No harm, potential for more than minimal, widespreadF812Jul 19, 2023

  Based on observation, interview and record review the facility failed ensure staff wore hairnets in the kitchen. The facility failed to store dry foods in a manner to prevent contamination. The facility failed to sanitize/wash dishware in a manner to prevent cross contamination. The facility failed to ensure food storage areas were clean and free of debris. These failures have the potential to affect all 35 residents in the facility. The findings include: The facility's Resident Census and Conditions of Residents form dated July 17, 2023, showed a resident census of 35. On July 17, 2023, at 9:00 AM, V4 Kitchen Aide was observed walking around the kitchen with no hairnet on. V4 walked over to the dishwasher and removed clean dishes from the dishwasher. […]

• No harm, potential for more than minimal, widespreadF880Jul 19, 2023

  Based on observation, interview and record review the facility failed to ensure a COVID positive staff member did not provide cares to facility residents. The facility failed to ensure staff wore the recommended personal protective equipment (PPE) when caring for COVID positive residents and during facility testing for COVID-19.These failures have the potential to affect all 35 residents in the facility. The findings include: 1. V8 Certified Nursing Assistant's (CNA) COVID Point of Care Testing Result report dated July 14, 2023, showed V8 tested positive for COVID-19. The report showed V8 was symptomatic with a complaint of fatigue. V8's July 2023 timecard showed V8 clocked into work at 7:12 AM on July 14, 2023 and clocked out of work at 11:24 AM. […]

• No harm, potential for more than minimal, widespreadF761Nov 3, 2021

  Based on observation, interview, and record review, the facility failed to ensure a resident medication refrigerator was kept at the recommended temperature and failed to ensure expired medications were disposed of per facility policy. This has the potential to affect all 44 residents residing at the facility. Findings include: The Centers for Medicare and Medicaid Services (CMS) Form 672, Resident Census and Conditions of Residents, completed by the facility and dated 11/1/21, shows there are 44 residents residing in the facility. 1. On 11/02/21 at 1:48 PM, the temperature of the fridge (refrigerator) in the first floor south medication room was 50 degrees Fahrenheit (F). […]

• No harm, potential for more than minimal, patternF684Jun 11, 2025

  Based on observation, interview and record review the facility failed to ensure a cervical neck collar and ace wraps were in place as ordered, failed to clarify physician prescribed medication orders to ensure a resident received the medications and failed to perform an assessment immediately after and following a fall for 4 of 20 residents (R36, R52, R47 and R299) reviewed for quality of care in the sample of 20. The findings include: 1. On 6/9/25 11:35 AM, R36 was lying in bed and had a cast on her right lower leg. R36 said that she had a fall in the bathroom and broke her leg. On 6/10/25 at 10:20 AM, V34 (R36's Spouse) said that he came in on 5/11/25 and R36 was on the floor of the bathroom. […]