Summit Hills Skilled Nursing Facility
Summit Hills Skilled Nursing Facility in Spartanburg, SC — inspection on January 30, 2026.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Findings included: A facility policy titled, Medicare
resident's Medicare covered Part A stay or when all of Part B therapies are ending, a Notice of Medicare Non-Coverage (CMS [Centers for Medicare and Medicaid Services] form 1012) is issued to the resident at least two calendar days before benefits end. A Face Sheet revealed the facility admitted R18 on 11/14/25.
According to the Face Sheet, the resident had a medical history that included diagnoses of aftercare following joint replacement surgery with the presence of a left artificial shoulder joint. An admission Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 11/18/25, revealed Resident #18 had a Brief Interview for Mental Status (BIMS) score of 15, which indicated the resident had intact cognition. R18's Notice of Medicare Non-Coverage indicated the last covered day of skilled services was 01/22/26, and the resident's Power of Attorney (POA)/family was notified verbally by phone on 01/21/26. A Face Sheet revealed the facility admitted R50 on 11/06/25.
According to the Face Sheet, the resident had a medical history that included diagnoses of pneumonitis due to inhalation of food and vomit, pleural effusion, and gastrostomy status. An admission MDS, with an ARD of 11/12/2025, revealed R50 had a BIMS score of 11, which indicated the resident had moderate cognitive impairment. R50's Notice of Medicare Non-Coverage indicated the last covered day of skilled services was 12/12/2025, and the resident's family was notified verbally on 12/11/2025.
During an interview on 01/30/26 at 12:49 PM,ˆthe Social Worker stated she would talk to the residents and Responsible Party about discharge several days before their last covered day but did not issue the form until the day before.
She said she thought it was timely.ˆ
During an interview on 01/30/26 at 1:14 PM, the Administrator stated that the NOMNC should be issued two days (48 hours) before the last covered day (LCD) of skilled services.
The Administrator stated that the Social Service Department was responsible for issuing the NOMNCs. He reviewed R18's and R50's NOMNCs and confirmed that they were done 24 hours, not 48 hours, before the LCD.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
425390 01/30/2026
Summit Hills Skilled Nursing Facility 110 Summit Hills Drive Spartanburg, SC 29307
During an interview on 01/30/26 at 3:16 PM, the Administrator stated that he expected the use of oxygen to be included in the care plan.
425390 01/30/2026
Summit Hills Skilled Nursing Facility 110 Summit Hills Drive Spartanburg, SC 29307
During an interview on 01/30/26 at 3:16 PM, the Administrator stated that he expected CPAP orders to be in place and reviewed by a clinician. 2. A Face Sheet indicated the facility admitted R19 on 07/10/2018.
According to the Face Sheet, R19 had a medical history that included a diagnosis of Alzheimer's disease. A quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 12/04/25, revealed R19 had a Brief Interview for Mental Status (BIMS) score of 9, which indicated the resident had moderate cognitive impairment. R19's Care Plan Report, did not include a respiratory focus or the use of oxygen therapy. R19's Order Recap Report, dated from 01/01/26 through 01/29/26, contained an order, started 10/01/25, for oxygen tubing and humidifier change at bedtime every Thursday.
The Order Recap Report revealed no order for oxygen therapy administration, including the prescribed liters of oxygen and the method of delivery. A Director of Nursing's (DON) Long Term Care Evaluation Progress Note[s], dated 01/07/26 at 1:21 PM, indicated R19 used oxygen via nasal cannula (flexible tubing to deliver oxygen to the nose) with an oxygen saturation of 98%. A nursing Progress Note[s], dated 01/11/26 at 4:54 AM, indicated R19 was currently on 2 liters of continuous oxygen. An observation on 01/28/26 at 1:04 PM revealed R19 lying in bed, and their oxygen concentrator was on at 2 liters.
The humidifier bottle was dated 01/02/26, and the tubing was dated 01/23/26.
During an interview on 01/30/26 at 12:48 PM, the Director of Nursing (DON) stated R19 did not have an oxygen order, but only an order for tubing changes.
The DON stated R19 should have an order specifying oxygen usage, liters, monitoring every shift, and filter and tubing changes.
The DON stated the facility switched to a new electronic health record (EHR) on 10/01/2025, and the nurse managers were responsible for entering orders into the new EHR system.
The DON stated R19's oxygen order was located in the previous system, dated 03/04/24, for 1-3 liters of oxygen per minute per nasal cannula to maintain an oxygen saturation of greater than or equal to 88 percent.
During an interview on 01/30/26 at 3:16 PM, the Administrator stated that he expected oxygen orders to be in place and reviewed by a clinician.