Summit Hills: Medicaid Notice Violations - SC
Inspectors visiting on January 28, 2026, found the resident, identified in records as R19, lying in bed with an oxygen concentrator running at 2 liters. The humidifier bottle attached to the equipment was dated January 2, more than three weeks old. The facility's own records showed a nursing note from January 11 documenting that R19 was on 2 liters of continuous oxygen. The Director of Nursing had noted during a January 7 evaluation that R19 was using oxygen via nasal cannula with an oxygen saturation of 98 percent. The order for any of this, specifying the liters, the delivery method, and shift-by-shift monitoring, did not exist in the facility's current records.
The Director of Nursing told inspectors the facility had switched to a new electronic health record system on October 1, 2025, and that nurse managers were responsible for entering orders into the new system. R19's oxygen order, she said, was still sitting in the old system, dated March 2024. It had never been transferred. R19 had a diagnosis of Alzheimer's disease and moderate cognitive impairment, with a mental status score indicating she could not have flagged the gap herself.
A second resident, R17, had arrived at the facility with a CPAP machine and no orders for its use. The nurse who handled the admission told inspectors she did not recall whether CPAP orders had been available at that time. The Nurse Practitioner said she had known R17 used a CPAP but had not known orders were missing. She said orders should include the device settings and instructions for when to use it.
The Administrator told inspectors he expected both oxygen and CPAP orders to be in place and reviewed by a clinician.
R19's oxygen concentrator continued running at 2 liters, as it apparently had since at least the fall, with a humidifier bottle no one had changed in nearly a month.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Summit Hills Skilled Nursing Facility from 2026-01-30 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 5, 2026 · Our methodology
Summit Hills Skilled Nursing Facility in Spartanburg, SC was cited for violations during a health inspection on January 30, 2026.
Inspectors visiting on January 28, 2026, found the resident, identified in records as R19, lying in bed with an oxygen concentrator running at 2 liters.
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.