Summerfield Health Care Center

In the surveyor’s words

From the most serious findings on record at Summerfield Health Care Center, in the surveyor’s own words.

• Actual harm, isolatedF600Nov 16, 2021

  Based on observation, interview and record review, the facility failed to provide protection from abuse to one (Resident 1), when the facility the facility had knowledge that Resident 1's roommate (Resident 2) had harassed Resident 1 concerning Resident 1's sexual orientation. This failure resulted to Resident 1's feeling depressed and bad about himself. Findings: A review of facility's census dated 9/16/21, it indicated Residents 1 and 2 were roommates. During a concurrent observation and interview on 9/30/21, at 9:38 a.m., Resident 1 was observed comfortably laying on bed in a four-resident room. […]

• No harm, potential for more than minimal, widespreadF812May 11, 2023

  Based on observation, interview and records review, the facility failed to safely store food supplies and residents ' food in accordance with professional standards of practice when: food in the kitchen, supplies in the dry storage, and food in the utility room refrigerator for four residents (Resident 4, Resident 5, Resident 6, and Resident 7) were left to expire or not properly labelled to indicate expiry dates. This failure had the potential to cause an outbreak of foodborne illness, compromise the safety and health of residents in the facility or worse cause death of residents. Findings: During a concurrent observation and interview in the kitchen on [DATE], at 10:54 a.m., four pieces of muffins in a plastic bag dated opened [DATE] was noted on the counter by the condiments. […]

• No harm, potential for more than minimal, widespreadF761Jan 14, 2022

  Based on observation, interviews, and record review, the facility did not ensure that 2 of 2 refrigerated vaccines (Influenza and Pneumococcal) were stored at the temperature required to maintain their overall safety and effectiveness. This had the potential to reduce the effectiveness of vaccines stored at the facility for administration to residents residing at the facility. Findings: During an observation and concurrent interview with Licensed Staff B on 1/11/21 at 2:31 p.m., the glass thermometer in the medication room refrigerator indicated a temperature of 36°F (degrees Fahrenheit, a temperature scale). Inside the refrigerator had three boxes of influenza vaccine, a vial of pneumococcal vaccine, a vial of [MEDICATION(S)] and a vial of insulin. […]

• No harm, potential for more than minimal, patternF656Mar 15, 2024

  Based on observation, interview and record review, the facility failed to ensure the nursing care plans to manage pain for two of four sampled residents (Resident 11 and Resident 109) were comprehensive (Covering completely or broadly), resident-centered, and contained specific pharmacological (Relating to medications) and non-pharmacological (Not involving medications) interventions to prevent pain, based on the residents' pain assessments. These findings had the potential to result in ineffective pain management interventions to control the residents' pain, which could have caused them suffering and distress. […]

• No harm, potential for more than minimal, patternF756Mar 15, 2024

  Based on interviews and a review of facility documents, it was determined that the pharmacy consultant did not identify instances where patients received Polycarbophil in conjunction with other oral medications, contrary to the manufacturer's guidelines. These guidelines stipulate that Polycarbophil should be taken at least two hours before or after other medications. These errors occurred in three of three patients who received Polycarbophil alongside other medications. Findings: A review conducted on 3/12/24, using Lexicomp Online, a nationally recognized drug information resource, indicated that Polycarbophil should be taken at least 2 hours before or after other medications. This is because laxatives can interfere with your body ' s ability to absorb other medicines. […]