Summers Healthcare Center: Menu Violation After Staff Walkout - WV
That was August 8, 2025. By Sunday, the Regional Dietary Manager was scrambling to put together an emergency order with whatever suppliers could provide on short notice. The facility ran short on multiple ingredients. Staff began substituting what they had for what the menu called for. The substitution log confirmed it: ham went in where beef was supposed to go, turning a beef macaroni casserole into a cheesy ham and macaroni casserole.
Three days later, on August 11, that casserole appeared on the dinner tray of a resident whose food preference form, completed the previous September, documented clearly that he dislikes pork.
The resident's dinner dining ticket for that night showed the ham dish. His care record showed he had told staff his favorite meal is dinner, that he likes cold cereal, and that pork is something he does not want.
He got pork anyway.
The Regional Dietary Manager explained the situation to inspectors on August 14, mid-afternoon. The previous dietary director had failed to submit the Friday food order before walking out. The emergency order placed Sunday could not fully replace what the facility normally stocked. So the kitchen made do, swapping ingredients based on what was on hand, tracking the changes on a substitution log that the manager provided to inspectors as confirmation.
The violation was cited at the lowest level of harm, meaning inspectors found minimal harm or potential for actual harm, and found it affected only a few residents. On the scale of nursing home deficiencies, a resident receiving a meal he dislikes sits far from the worst outcomes inspectors document. No one was hospitalized. No one was injured.
But the incident captures something inspectors are trained to look for: whether a facility knows what its residents need, and whether that knowledge holds up when things go wrong.
This facility knew. The preference was documented, dated, specific. The resident had told someone he dislikes pork, and someone had written it down. The system worked exactly as it was supposed to, right up until the moment the kitchen ran out of beef and reached for ham instead.
The Regional Dietary Manager did not dispute any of it. The walkout happened, the order was missed, the substitution was made, the log showed it. The explanation was straightforward and the documentation was there.
What the documentation also showed was that a resident's recorded preference, the kind of small personal detail that facilities are supposed to track and honor, did not survive a single weekend of staffing chaos.
The inspection was conducted August 20, 2025, following a complaint. Summers Healthcare Center is located at 198 John Cook Nursing Home Road in Hinton.
The resident who dislikes pork still lives there. Dinner is his favorite meal.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Summers Healthcare Center from 2025-08-20 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Corrections: We strive for accuracy in everything we publish. If you believe any fact in this article is incorrect, please contact us with details, and we will review and correct it promptly.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: November 3, 2026 · Our methodology
SUMMERS HEALTHCARE CENTER in HINTON, WV was cited for violations during a health inspection on August 20, 2025.
By Sunday, the Regional Dietary Manager was scrambling to put together an emergency order with whatever suppliers could provide on short notice.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.