Summit Health and Living

In the surveyor’s words

From the most serious findings on record at Summit Health and Living, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF576Jun 27, 2025

  Based on interview and record review, the facility failed to ensure mail was distributed on Saturdays. This deficiency had the potential to affect 32 of 32 residents who resided in the facility. Finding includes: During a Resident Council group interview, beginning on 6/25/25 at 9:40 AM, the Resident Council President indicated residents never got mail on Saturdays because no one worked in the facility's business office on Saturdays. Residents 16, 21, and 31 indicated they did not think they received mail on Saturdays, but were uncertain. During an interview, on 6/27/25 at 9:34 a.m., LPN 3 indicated she worked on the weekends, but she was uncertain if residents received mail on Saturdays. […]

• No harm, potential for more than minimal, patternF602Mar 2, 2023

  Based on record review and interview, the facility failed to ensure Schedule II narcotics were not diverted by the Director of Nursing for 5 of 8 residents reviewed for misappropriation of property (Residents B, C, D, E and F). Findings include: Review of a Facility Reported Incident, dated 2/15/23 at 10:52 a.m., indicated the narcotic count was not accurate for Resident B because the DON (Director of Nursing) had taken two cards of hydrocodone that contained 30 tablets on each card. The Administrator-in-Training had entered the DON's office and found one card of hydrocodone tablets, but not the other card. The investigation revealed additional Level 2 narcotics had been unaccounted for. […]

• No harm, potential for more than minimal, isolatedF605May 7, 2026

  Based on observation, interview, and record review, the facility failed to ensure a resident did not receive an antipsychotic medication without indication when the facility failed to identify targeted behaviors and individualized interventions to support the use of an antipsychotic medication for 1 of 5 residents reviewed for unnecessary medications. (Resident 12)Findings include:During an interview with Resident 12's representative on 4/30/26 at 11:08 a.m., she indicated she felt Resident 12 received quetiapine (an antipsychotic) as a babysitter for the facility. The resident just sat around, and the representative felt like he got tired of doing nothing. During an observation on 4/30/26 at 12:24 p.m., staff assisted Resident 12 with lunch. […]

• No harm, potential for more than minimal, isolatedF550Jan 14, 2026

  Based on interview and record review, the facility failed to protect a resident's right to make choices and to promote independent activities of daily living. (Resident B and CNA 1)Findings include:During an interview on 1/14/26 at 10:50 a.m., QMA 2 indicated on 12/29/25, CNA 1 asked the QMA for assistance showering Resident B. During the shower, CNA 1 was rude and demanding with the resident. CNA 1 moved the resident to the corner, away from the showerhead. During the shower, the resident reached for the showerhead. CNA 1 indicated to the resident that he (Resident B) was not allowed to have the showerhead, and staff were told he wasn't to have it. QMA 2 indicated she had never been told the resident could not have the showerhead, nor was it in his plan of care. […]

• No harm, potential for more than minimal, isolatedF600Jan 14, 2026

  Based on interview and record review, the facility failed to protect a resident's right to be free from verbal abuse by a staff member (Resident B and CNA 1).Findings include:During an interview on 1/14/26 at 10:50 a.m., QMA 2 indicated, on 12/29/25, CNA 1 asked for assistance showering Resident B. During the shower, CNA 1 was rude and demanding with the resident. CNA 1 moved the resident to the corner of the shower, away from the showerhead. During the shower, the resident reached for the showerhead. CNA 1 told the resident he (Resident B) was not allowed to have the showerhead and staff had been told so. QMA 2 indicated she had never been told the resident could not have the showerhead. During the shower, the resident indicated they needed to urinate. […]