The Heights of Summerlin, LLC

In the surveyor’s words

From the most serious findings on record at The Heights of Summerlin, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 1, 2024

  Based on observation, interview and document review, the facility failed to ensure food items stored inside the walk-in cooler and walk-in freezer were labeled, dated, and not expired; the janitor closet located inside the kitchen was maintained in a sanitary condition; bottles of hand soap were not stored over the disposable ware and food item on a shelving unit in the Dry Storage Room; a meal tray was served to the correct resident for 1 of 34 sampled residents (Resident 113); and temperature logs were monitored and maintained for 3 of 4 nourishment refrigerators (First floor East Wing, 300 Hall, and 200 Hall). The deficient practices had the potential to place the residents at risk for a foodborne illness and had a resident served with incorrect diet. […]

• No harm, potential for more than minimal, widespreadF812Feb 10, 2023

  Based on observation, interview, and document review, the facility failed to ensure 1) expired items were discarded, 2) a container of flour was covered to prevent contamination, 3) an item containing dairy and egg ingredients was refrigerated after opening, 4) cleanliness of the kitchen environment and equipment, 5) temperature of the walk-in freezer and refrigerator was monitored, and 6) ground beef was not contaminated with a chemical during meal preparation. The failure to discard expired items, prepare food in a safety manner, maintain cleanliness of kitchen and equipment, and ensure the temperature of the freezer and the refrigerator was monitored to ensure working condition had the potential to serve foods to the residents at an increased risk of food safety. […]

• No harm, potential for more than minimal, patternF812Mar 27, 2026

  Based on observation, interview, and document review the facility failed to ensure 1) the kitchen was maintained in a sanitary manner, 2) there was no backed up water on the kitchen floor due to a broken drain line in the dishwasher area and a broken sewer line in the beverage area, 3) a nourishment refrigerator did not contain opened food items which were undated, and snacks were stored in proper temperature. The deficient practice placed residents at risk for foodborne illness.Findings include: On 03/24/2026 at 7:40 AM, an initial tour of the kitchen with the Assistant Dietary Manager (DM) revealed the following findings:1. Kitchen- Floor in food prep area had crumbs and other food debris more pronounced at corners and sides of food prep table. […]

• No harm, potential for more than minimal, patternF689Mar 18, 2025

  Based on observation, interview, record review, and document review, the facility failed to appropriately assess residents who smoked upon admission/readmission, secure smoking materials, including lighters, and establish a policy outlining guidelines on how to address smoking among residents in a non-smoking facility, and ensure safety measures were implemented for 3 of 13 sampled residents (Residents 66, 104, and 65). This deficient practice had the potential to place residents at risk of self-inflicted burns, fire hazards, or other safety concerns. Findings include: Resident 66 (R66) R66 was admitted on [DATE], and readmitted on [DATE], with diagnoses including shortness of breath and heart failure. […]

• No harm, potential for more than minimal, patternF809Mar 18, 2025

  Based on observation, interview, and document review, the facility failed to ensure snacks were available to residents outside of scheduled mealtimes. The failed practice had the potential to cause residents to remain hungry in between meals and the resident's nutritional needs not met. Findings include: On 03/12/2025 in the morning, the snack tray at the 1st floor east nursing station was observed empty. On the 2nd floor nursing station, the snacks refrigerator had a bottle of dark colored soda and no snacks available for residents. On 03/12/2025 in the morning, the Dietary Director reported resident snack refrigerators were replenished daily after breakfast and again in the afternoon. […]