Summit Ridge: Daily Care Failures Found - WY
The resident, who is cognitively intact with a perfect score on mental status testing, told inspectors during a September 16 interview that "at times, had gone several days without a shower." The resident said they didn't have a specific time preference "as long as s/he was offered a shower every couple of days."
Federal inspectors found two extended gaps in the resident's bathing records. Between July 8 and July 17, no showers were provided or offered for 10 consecutive days. A second gap occurred between August 14 and August 22, lasting nine days without bathing services.
The resident's family representative confirmed the hygiene problems during a separate interview with inspectors. Before admission to Summit Ridge, the resident showered daily. Upon entering the facility, the resident specifically requested showers three times per week.
"The resident had gone several days without being offered a shower in the past," the family representative told inspectors on September 16.
Summit Ridge's own bathing schedule showed the resident was supposed to receive showers on Mondays, Wednesdays, and Fridays. The facility's April 2025 policy states that "residents will be provided showers as per request or as per facility schedule protocols."
Director of Nursing interviews revealed the facility's expectations for shower documentation. During a morning interview on September 17, the DON told inspectors that residents were offered showers on their scheduled days "unless the resident refused or was unavailable." She said staff were expected to document both the bathing and any refusals.
But when inspectors pressed for records during an afternoon interview the same day, the DON confirmed there was no documentation showing the resident received or was offered showers during either gap period.
The resident requires partial to moderate assistance with bathing due to weakness and pain from multiple medical conditions, including hypertension, diabetes, and arthritis. Their care plan, dated August 26, specifically identified "alterations in ADL function secondary to weakness and pain" and noted the resident "required assistance completing ADL tasks."
Federal regulations require nursing homes to provide necessary services to maintain residents' grooming and personal hygiene when they cannot perform these activities independently. The facility's own policy echoes this requirement, stating that residents "unable to carry out activities of daily living will receive the necessary services to maintain good nutrition, grooming, and personal hygiene."
The inspection revealed a disconnect between the facility's written policies and actual care delivery. While Summit Ridge documented a three-times-weekly shower schedule and maintained policies requiring hygiene assistance, the resident experienced extended periods without basic bathing services.
The resident scored 15 out of 15 on cognitive testing, indicating full mental capacity to communicate their needs and preferences. This makes the facility's failure to provide or offer showers particularly concerning, as the resident was fully capable of expressing when they needed hygiene assistance.
Federal inspectors classified the violation as causing minimal harm or potential for actual harm. The finding affects how the facility provides activities of daily living assistance to residents who cannot perform these tasks independently.
The case highlights the gap between nursing home policies and practice. Summit Ridge had clear written procedures for resident bathing and staff documentation requirements, yet failed to follow through with actual care delivery for a resident who had specifically requested regular shower assistance upon admission.
The resident's family representative noted the significant change from daily showers at home to extended periods without bathing at the facility, underscoring how institutional care sometimes falls short of basic hygiene standards that residents maintained in their previous living situations.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Summit Ridge Skilled Nursing & Rehabilitation from 2025-09-17 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 4, 2026 · Our methodology
Summit Ridge Skilled Nursing & Rehabilitation in Douglas, WY was cited for violations during a health inspection on September 17, 2025.
Between July 8 and July 17, no showers were provided or offered for 10 consecutive days.
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.