Summit Health and Rehab Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF803Apr 21, 2022

  Based on staff interview, resident interviews, and facility document review, the facility staff failed to offer alternate menu entrée items that were prepared in advance and compatible to other menu items. No meal alternatives menu entrée items were listed on the main menus posted on each unit, or on the copy provided to the residents. The census was 79 residents. The findings include: On 04/19/2022 during the initial tour, three3 residents, Resident #8, Resident #35, and Resident #14 stated they were not offered alternate menu items. Resident #8 was admitted with diagnoses that included, pneumonia, [CONDITION(S)], [CONDITION(S)], and [CONDITION(S)]. […]

• No harm, potential for more than minimal, widespreadF880Apr 21, 2022

  Based on observation, staff interview, facility document review and clinical record review, the facility staff failed to follow infection control protocols for one of twenty-one residents in the survey sample, Resident #75; and failed to implement facility protocols for Legionella prevention. The findings include: 1. Resident #75 was admitted to the facility with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The minimum data set (MDS) dated [DATE] assessed Resident #75 as cognitively intact. Resident #75's clinical record documented a physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . On 4/20/22 at 8:56 a.m., certified nurses' aide (CNA) #1 was observed entering Resident #75's room. CNA #1 had on a mask but no gown or gloves and performed no hand hygiene prior to entering the room. […]

• No harm, potential for more than minimal, patternF658May 1, 2025

  Based on staff interviews, record review, and facility documents, the facility failed to ensure that nursing services met the professional standards of quality for five of 30 sampled residents (Resident (R) 11, R70, R76, R84, R159). Findings included: 1. For Residents #84 and Resident #159, the facility failed to ensure that licensed nursing services were not delegated to and performed by an unlicensed staff member. Registered Nurse (RN) 9 delegated administration of oral medications and the performance of a fingerstick blood glucose check to Certified Nurse Aide (CNA) 10. […]

• No harm, potential for more than minimal, patternF880May 1, 2025

  Based on observations, interviews, clinical record review, and facility policy review, 1.) the facility failed to implement enhanced barrier precautions (EBP) during high contact resident care for two residents (Resident (R) 86 and R63) ; 2.) the facility failed to implement contact precautions measure in posting appropriate signage and ensuring appropriate PPE was readily available in the care of one resident (R7); 3.) the facility staff failed to perform the standard precautions of appropriate hand hygiene with incontinent care and with handling clean linen to prevent risk of cross contamination for one of one resident (R36); and 4.) facility staff failed to perform the required hand hygiene with meal service to prevent cross contamination for seven residents (R66, R22, R51, R70, R23,… […]

• No harm, potential for more than minimal, patternF658Jan 5, 2024

  Based on staff interview, record review, and facility documentation review, the facility staff failed to follow professional standards of nursing practice for 7 Residents (Resident #1, #2, #3, #6, #7, #9, and #10) in a survey sample of 11 Residents. For Resident #1, #2, #3, #6, #7, #9, and #10, the facility staff failed to administer medications in accordance with physician orders and failed to notify the physician that the ordered medications were not administered. The findings included: On 1/4/24 and 1/5/24, clinical record reviews were performed, which revealed the following: 1. […]