Summit Ridge Skilled Nursing & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Summit Ridge Skilled Nursing & Rehabilitation, in the surveyor’s own words.

• Actual harm, isolatedF600Sep 17, 2025

  Based on medical record review, resident representative and staff interview, facility investigation review, and policy and procedure review, the facility failed to protect the residents' right to be free from physical abuse by another resident for 2 of 4 sample residents (#2, #4) reviewed for abuse. This failure resulted in actual harm to resident #2 and resident #4. The findings were: 1. Review of the quarterly MDS assessment dated [DATE] showed resident #4 had a BIMS score of 5 out of 15, which indicated severe cognitive impairment, and had diagnoses which included dementia, anxiety disorder, and hypertension. The following concerns were identified:a. […]

• Actual harm, isolatedF740Nov 15, 2024

  Based on observation, medical record review, and staff interview, the facility failed to ensure residents with dementia received the appropriate treatment and services to attain their highest practicable physical, mental, and psychosocial well-being for 2 of 4 residents (#4, #97) reviewed for behavioral and emotional needs. This failure resulted in actual harm to resident #97. The findings were: 1. Review of the 7/17/24 MDS discharge assessment for resident #97 showed s/he was admitted to the facility on [DATE] and was discharged to a short-term general hospital on 7/17/24 with a return to the facility not anticipated. Review of the 4/23/24 quarterly MDS assessment showed the resident had diagnoses which included non-traumatic brain dysfunction and non-Alzheimer's dementia. […]

• No harm, potential for more than minimal, widespreadF801Jun 18, 2026

  Based on staff interview, and policy review, the facility failed to ensure the dietary manager met the required qualifications. The census was 49. The findings were: 1. Interview with the administrator on 6/15/26 at 12:25 PM revealed the facility did not have a dietary manager. Further interview confirmed the facility had a contract dietitian who did not work full-time in the facility. 2. Review of the policy titled Dietary Services-Staffing last revised 5/26 showed 3 .If a qualified dietitian or other clinically qualified nutrition professional is not employed full-time, the facility will designate a person to serve as the director of food and nutrition services who: .i. A certified dietary manager; ii. A certified food service manager; .

• No harm, potential for more than minimal, widespreadF812Jun 18, 2026

  Based on observation, staff interview, review of facility policy, and review of the 2022 FDA Food Code, the facility failed to ensure a sanitary environment in 1 of 1 kitchen, and failed to ensure outdated food was disposed of in 1 of 2 nourishment refrigerators. The census was 49. The findings were: Regarding sanitary environment 1. Observation on 6/17/26 beginning at 10:08 AM showed cook #1 donned gloves and performed various tasks in the kitchen; she placed frozen garlic bread on a sheet pan, entered the walk in refrigerator and exited with 2 containers that she took to the dish room, cleaned a thermometer, removed lasagna from the oven and checked the temperature, removed the vegetables from the stove and took the temperature, tested the sanitizer bucket, wiped down the counters,… […]

• No harm, potential for more than minimal, widespreadF725Nov 15, 2024

  Based on nursing staff schedule review and staff interview, the facility failed to have a system in place to document licensed nurses in the facility on a 24-hour basis. The findings were: 1. Review of the PBJ (payroll-based journal) Staffing Data Report for July 1 through [DATE] showed the following concerns: a. The PBJ showed the facility failed to provide nursing coverage 24 hours/day on 7/21, 7/23, and 7/30. b. Review of the working schedule showed on 7/21 the DON was on duty for 12 hours starting at 6 AM. On 9/10, 9/23, and 9/30 the DON was shown as working a 12-shift starting at 6 PM. The other days noted on the PBJ were covered by nursing staff. 2. Review of the PBJ Staffing Data Report for October 1 through December 31, 2023 showed the following concerns: a. […]