Summit City Nursing and Rehabilitation

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF761Feb 23, 2026

  Based on interview, record review and observation, the facility failed to ensure staff were present during medication administration for 1 of 4 residents reviewed (Resident B). Findings include: During an observation on 2/23/26 at 9:42 AM, Resident B's medications were observed on the bedside table in a pill cup.In an interview, on 2/23/26 at 9:42 AM, Resident B indicated he self-administrated his medications and he often had the nurse place the medications on his bedside until he was ready to take the medications. […]

• No harm, potential for more than minimal, isolatedF552Dec 4, 2025

  Based on interview and record review, the facility failed to ensure a resident was informed of and able to participate in treatment decisions for 1 of 3 residents reviewed (Resident C).Findings include:A report, dated 11/6/25, alleged Resident C's medications were not being given as prescribed and the resident not informed of reason for changes in his treatment.On 12/3/25 at 2:23 P.M., Resident C's record was reviewed. Diagnoses included chronic pain syndrome and polysubstance abuse.A hospital progress note, dated 9/3/25, indicated Resident C had been hospitalized for acute/chronic respiratory failure. The note indicated the resident had chronic pain syndrome with a history of polysubstance abuse. He was prescribed Methadone and was followed by the methadone clinic near his hometown. […]

• No harm, potential for more than minimal, isolatedF677Sep 29, 2025

  Based on observation, interview, and record review, the facility failed to ensure hair and nail care was completed for 1 of 1 resident reviewed.Findings include:.During an observation, on September 23, 2025, at 1:43 PM, the following was observed: Resident 3's hair was greasy and disheveled. Resident 3's left hand had fingernails that were approximately half an inch long, and a brown substance was under her right index and pinky fingernails. Resident 3 was in a hospital gown with brown and yellow stains.During an observation, on September 25, 2025, at 10:05 AM, the following was observed: Resident 3's hair was greasy and disheveled. Resident 3's left hand had fingernails that were approximately half an inch long, and a brown substance was under her right index and pinky fingernails. […]

• No harm, potential for more than minimal, isolatedF550Nov 15, 2024

  Based on observation, interview, and record review the facility failed to ensure dignity was provided for 1 of 13 residents reviewed. (Resident 22). Findings include: An observation starting on 11/12/24 at 9:18AM, in the 200 hallway, consisting of rooms 215-228, staff from several departments were observed entering resident rooms without waiting for permission or an answer after knocking softly or not knocking at all. Some of the staff did announce what department they were from, none announced their name. Certified Nursing Assistant 4 (CNA) went directly into room [ROOM NUMBER] without knocking and announced after entering, who turned the light on?. CNA 5 entered room [ROOM NUMBER] after tapping with one finger on the door and immediately entering the room. […]

• No harm, potential for more than minimal, isolatedF697Nov 15, 2024

  Based on observation, interview, and record review the facility failed to ensure pain was managed for 1 of 1 resident reviewed. (Resident 22) Findings include: In an interview, on 11/12/24 at 10:12 AM, Resident 22 indicated she was frequently experiencing back pain and not getting any relief from it. Resident 22 indicated she told the nurses and was at times given Tylenol and at other times given reasons she had to wait. Resident 22 indicated the nursing facility staff were aware of her pain. Resident 22 indicated she was rarely given medication for the pain and was not offered any non-pharmaceutical relief. Resident 22 indicated Tylenol was better than nothing but did not relieve the pain. […]