Summit Health & Rehab Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Aug 25, 2022

  Based on observation, record review, and interview, the facility failed to ensure dietary staff washed their hands and/or changed gloves before handling food items; failed to ensure expired food items were promptly removed and or discarded by the expiration or use by dates; failed to ensure that food items were covered and stored properly to prevent food borne illness for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect fifty residents who received their meals from one of one kitchen according to a list provided by the administrator on [DATE] at 1:45 PM. The findings are: a. On [DATE] at 11:53 AM, four pitchers of tea and 1 pitcher of water were sitting on top of an insulated tray cart. […]

• No harm, potential for more than minimal, widespreadF812Jun 4, 2021

  Based on observations, record review and interview, the facility failed to ensure dietary staff washed their hands and changed gloves before handling food items; ice scoop holder and ice machine were maintained in a clean and sanitary condition; failed to ensure expired food items were promptly removed and or discarded by the expiration or use by dates, to prevent food borne illness and failed to ensure food items stored in the freezer were covered or sealed, to retain their freshness, taste, and nutrient levels for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 34 residents who received meals from the kitchen (Total Census: 35), according to the list provided by the Dietary Supervisor on [DATE] at 11:28 a.m. The findings are: 1. […]

• No harm, potential for more than minimal, patternF755Oct 24, 2024

  Based on observation, interview, and facility policy review the facility failed to ensure a refrigerated antianxiety medication was counted and appropriately reconciled each shift by maintaining the documentation of an unopened, expired vial of (Generic) anti-anxiety medication in the narcotic book for 4 months to ensure accurate documentation and reconciliation to prevent the risk of misappropriation of resident owned narcotics. Findings include: 1.a. On 10/22/2024 at 2:07 PM, Licensed Practical Nurse (LPN) #5 stated, a resident's unopened antianxiety medication cannot be found in the narcotic book. Registered Nurse (RN) #6 revealed, the antianxiety medication was not transferred over from the previous narcotic book. Surveyor observed, the antianxiety medication expired 06/2024. b. […]

• No harm, potential for more than minimal, patternF761Oct 24, 2024

  Based on observation, interview, and facility policy review, the facility failed to ensure staff appropriately monitored refrigerator temperatures to ensure influenza, and TB vaccines, and insulins were stored at a temperature range of ,d+[DATE] degrees Fahrenheit to prevent freezing and deterioration of medications. Findings include: a. A review of facility policy titled Medication Storage in the Facility, ID1 Storage of Medications, revised [DATE], revealed medications are to be stored at supplier or manufacturer recommendations. Expired or deteriorated medications are to be removed from inventory and disposed of appropriately. A pharmacy designee or pharmacy consultant monitors medication storage conditions monthly. […]

• No harm, potential for more than minimal, patternF812Oct 24, 2024

  Based on observations and interview the facility failed to ensure food was labeled with a use by date to ensure food was not used beyond its safety period in accordance with professional standards for food service safety. The findings are: 1. On 10/21/24 at 10:00 AM, the surveyor observed food sitting on a shelf in the walk-in refrigerator did not have a use by date on some food items: a. A large, clear, storage bag that contained two prepared turkey sandwiches with a preparation date of 10/20/24, did not have a use by date noted on the bag. b. A large, clear, plastic container of beef vegetable soup with a prepared date of 10/21/24, did not have a use by date on the container. c. […]