Summersville Healthcare Center

In the surveyor’s words

From the most serious findings on record at Summersville Healthcare Center, in the surveyor’s own words.

• Immediate jeopardy, widespreadF812Sep 28, 2023

  Based on observation, record review and staff interview the facility failed to ensure food was prepared and held at a safe temperature to prevent the spread of food borne illnesses. The facility failed to take temperatures of food at the time of preparation and prior to service for foods held on a steam table. Taking the temperature is critical to ensure food is heated to the appropriate temperature and held at temperatures outside of the food danger zone. The food danger zone is greater than 41 degrees F and/or less than 135 degrees F. The facility utilized a Service Line Checklist that indicated the name of the food items and temperatures for all hot and cold food. The checklist indicated the temperature should be taken prior to service and recorded in the boxes below each food item. […]

• Actual harm, isolatedF600Aug 30, 2023

  Based on observation, interview and record review, the facility failed to ensure that two (2) of 84 residents were free from neglect when it failed to maintain and provide safe transportation for the resident in the facility van. Resident #69 experienced a fall that resulted in actual physical harm when they suffered a fracture to both legs. In addition Resident #84 sustained several falls where the care plans were not implemented or revised. She sustained on final fall on 06/10/23. Review of Physicians/Medical Examiners Certification of Death for Resident #84 dated 6/29/23, evidenced the cause of death as complications of blunt force injuries. The description of how injury occurred was a fall striking head on a doorway while ambulating down hallway. […]

• No harm, potential for more than minimal, widespreadF804Nov 14, 2024

  Based on observation and resident interview, the facility failed to provide meals that were palatable and appetizing for residents of the facility. This has the potential to affect more than a limited number of residents. Resident identifiers: #37, #30, #16, #39, #68, #6, #74, #46. Facility census: 88. Findings included: a) Resident Interviews During the survey process, multiple surveyors obtained interviews from residents at the facility regarding the food served. The interviews are as follows: Approximately 9:56 AM on 11/12/24- Resident #37's Power of Attorney (POA) states The food is mediocre, at best. Approximately 2:04 PM on 11/11/24- Resident #30 stated The food is awful. You can't chew it. You have to eat some of it though, or else you'll get sick. […]

• No harm, potential for more than minimal, widespreadF812Nov 14, 2024

  Based on observation and staff interviews, the facility failed to ensure equipment in which they prepared food, was kept clean and sanitary. This has the potential to affect more than a limited number of residents. This was a random opportunity for discovery. Facility census: 88. Findings included: a) Oven At approximately 11:25 AM on 11/11/24, during a tour of the kitchen, the oven was noted to have grease covering the windows. Upon inspection of the inside of the oven, there was noted to be spillage and grease inside the oven. Pieces of food were laying on the floor of the oven. The Culinary Director (CD) was asked how often the oven was cleaned. The CD stated the oven was cleaned once a week or once every two weeks. […]

• No harm, potential for more than minimal, patternF684Nov 14, 2024

  Based on observation, record review and staff interview, the facility failed to follow a physician's order regarding blood pressure checks in a restricted arm due to a mastectomy for Residents #28 and #24, and to follow physician orders for Resident #88's fall safety devices to assist in prevention of injury for a resident with a diagnosis and history of repeated falls. This was true for three (3) of 32 reviewed during the survey process. Resident Identifier: #28, #24, #88. Facility Census: 88. Findings included: a) Resident #28 At approximately 2:05 PM on 11/12/24, during a review of Resident #28's record, it was determined the resident had an order for no blood pressures to be taken in her left arm, due to a mastectomy. […]