NHC Place Sumner

In the surveyor’s words

From the most serious findings on record at NHC Place Sumner, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF676Mar 19, 2026

  Based on observation, interview, record review, facility document review, and facility policy review, the facility failed to provide the required level of assistance with eating for 1 (Resident #70) of 3 residents reviewed for activities of daily living care. Findings included: An undated facility policy titled, Activities of Daily Living (ADL), Supporting, indicated, Residents will be provided with care, treatment and services as appropriate to maintain or improve their ability to carry out activities of daily living (ADLs). Residents who are unable to carry out activities of daily living independently will receive the services necessary to maintain good nutrition, grooming and personal and oral hygiene. The policy further indicated, 2. […]

• No harm, potential for more than minimal, isolatedF842Mar 19, 2026

  Based on facility policy review, record review, and interview, the facility failed to ensure physician orders were obtained, as well as entered in the medical record for 1 (Resident #101) of 2 residents reviewed for the use of assistive devices. Specifically, the facility failed to obtain an order for a hip brace when the facility readmitted the resident with a hip brace and failed to transcribe an order to wear the hip brace over the resident's clothes. Findings included: A facility policy titled, Section VIII: Nursing Services Documentation Guidelines, revised 05/2025, revealed, General policies for orders: All orders should be directly entered into the EHR [electronic health record] upon receipt, or if handwritten by a provider, should be entered into the EHR from the written orders. […]

• No harm, potential for more than minimal, isolatedF755May 26, 2021

  Based on facility policy review, medical record review, and interview the facility failed to document medication administration for 1(Resident #5) of 3 residents reviewed. Review of the facility's policy Administering Medications, revised 12/2012, showed .The individual administering the medication must initial the resident's MAR (medication administration record) on the appropriate line after giving each medication and before administering the next ones . Record review showed Resident #2 was admitted to the facility on [DATE], with diagnoses which included Secondary Neoplasm of Brain and Type 2 Diabetes Mellitus with [CONDITION(S)]. […]

• No harm, potential for more than minimal, isolatedF609Apr 1, 2021

  Based on review of facility policy, medical record review, and interview the facility failed to report an alleged violation involving abuse to the State Survey and Certification Agency within two hours of the allegation being made. This affected one resident (Resident #3) of three residents reviewed for abuse. This had the potential to affect all 85 residents residing in the facility. The findings include: Review of facility policy titled, Patient Protection and Response Policy for Allegations/Incidents of Abuse, Neglect, Misappropriation and Exploitation, dated 12/11/17, showed that any partner having direct or indirect knowledge of any event that might constitute abuse, neglect, misappropriation of patient property or exploitation must report the event immediately, but no later than two… […]

• No harm, potential for more than minimal, isolatedF684Apr 1, 2021

  Based on review of facility policy, interview, and medical record review, the facility failed to correctly administer medication and failed to obtain weights as ordered by the physician. This affected one resident (Resident #1) of three residents reviewed for medications. The findings include: Review of facility policy titled, Administering Medications, dated 12/2012, showed that medications shall be administered in a safe and timely manner, and as prescribed. Review of the medical record, showed Resident #1 was admitted to the facility on [DATE] and discharged on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]