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Summit Ridge: Resident Abuse Violation - WY

Healthcare Facility
Summit Ridge Skilled Nursing & Rehabilitation
Douglas, WY  ·  2/5 stars

The resident, who is cognitively intact with a perfect score on mental status testing, told federal inspectors in September that they sometimes went "several days without a shower." Before admission to Summit Ridge, the resident showered daily and specifically requested three showers per week upon entering the facility.

Federal inspection records show the resident missed scheduled bathing twice: once between July 8 and July 17, spanning 10 days, and again between August 14 and August 22, lasting nine days. The facility's own bathing schedule called for showers three times weekly on Mondays, Wednesdays, and Fridays.

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The resident's family representative confirmed the bathing gaps during an interview with inspectors on September 16. They said the resident "had gone several days without being offered a shower in the past" and emphasized that daily bathing had been the resident's routine before entering the nursing home.

Summit Ridge's Director of Nursing told inspectors that residents receive showers on scheduled days "according to their preference, unless the resident refused or was unavailable." She said staff were expected to document all bathing and any refusals.

But when inspectors pressed for documentation, the nursing director confirmed there were no records showing the resident received or was even offered a shower during either gap period.

The resident requires partial to moderate assistance with bathing due to weakness and pain from arthritis, diabetes, and other conditions. Their care plan, dated August 26, specifically identifies "alterations in ADL function secondary to weakness and pain" and notes they need help completing daily living tasks.

During the inspection interview, the resident told investigators they didn't have a specific time preference for bathing "as long as s/he was offered a shower every couple of days."

Summit Ridge's own policies contradict the documented care gaps. The facility's shower policy, last revised in April 2025, states that "residents will be provided showers as per request or as per facility schedule protocols and based upon resident safety."

A separate policy on activities of daily living promises that "a resident who is unable to carry out activities of daily living will receive the necessary services to maintain good nutrition, grooming, and personal hygiene."

The inspection, conducted September 17 following a complaint, focused on three residents receiving assistance with daily living activities. Only one resident experienced the bathing failures.

Federal regulators classified the violation as causing "minimal harm or potential for actual harm" to residents. The finding falls under federal requirements that nursing homes provide care and assistance for residents unable to perform activities of daily living independently.

The resident's case illustrates a broader pattern inspectors frequently encounter: facilities with written policies that promise appropriate care, but documentation gaps that suggest promises go unfulfilled. When staff fail to record whether they offered required services, inspectors cannot determine if residents received care or simply refused it.

Summit Ridge operates as a skilled nursing and rehabilitation facility in Douglas, a town of about 6,000 people in eastern Wyoming's oil and gas region. The facility serves residents requiring both short-term rehabilitation and long-term nursing care.

The inspection report does not indicate whether Summit Ridge disputed the findings or what corrective actions the facility planned to implement. Federal regulations require nursing homes to submit correction plans within specified timeframes following inspection violations.

For the wheelchair-bound resident who went 10 days without bathing, the summer heat in Wyoming likely made the experience particularly uncomfortable. The resident's family representative noted the stark contrast between daily showers before admission and the extended gaps in basic hygiene care that followed.

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


Editorial Standards

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

Quick Answer

Summit Ridge Skilled Nursing & Rehabilitation in Douglas, WY was cited for abuse-related violations during a health inspection on September 17, 2025.

The facility's own bathing schedule called for showers three times weekly on Mondays, Wednesdays, and Fridays.

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.

Frequently Asked Questions

What happened at Summit Ridge Skilled Nursing & Rehabilitation?
The facility's own bathing schedule called for showers three times weekly on Mondays, Wednesdays, and Fridays.
How serious are these violations?
These are very serious violations that may indicate significant patient safety concerns. Federal regulations require nursing homes to maintain the highest standards of care. Families should review the full inspection report and consider whether this facility meets their safety expectations.
What should families do?
Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in Douglas, WY, (5) Report any new concerns directly to state authorities.
Where can I see the full inspection report?
The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from Summit Ridge Skilled Nursing & Rehabilitation or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 535040.
Has this facility had violations before?
To check Summit Ridge Skilled Nursing & Rehabilitation's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.


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