Summers Healthcare Center
SUMMERS HEALTHCARE CENTER in HINTON, WV — inspection on August 20, 2025.
Found 27 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) On 08/11/2025 at 11:52 AM, the Dining Room observation was initiated by the state surveyor.
Nineteen (19) out of twenty residents (20) in the main dining room were served their lunch meal with plastic silverware. On 08/11/2025 at 12:40 PM, Registered Nurse (RN) #81 stated, not usually when asked if they use plastic silverware.
The Employee Life Cycle Manager stated, I was told by the kitchen they ran out of clean silverware.
On 08/13/2025 at 1:25 PM, plastic silverware was observed to be placed on the resident trays going to the last halls. [NAME] #138 stated they were out of regular silverware and would have to use plastic. [NAME] #137 stated, it was too late to wrap (regular silverware) because it was not washed in time. [NAME] #138 stated that the delivery truck came on Monday and delivered silverware. At 1:26 PM, when brought to the attention of staff by state surveyor, plastic silverware was removed from the trays and regular silverware was bagged during tray line and placed on the remaining trays.
The Regional Dietary Manager #155 educated the kitchen staff on plastic silverware being a resident dignity issue.
On 08/12/25 at 1:42 PM, during an interview with Resident #20, Nurse Aide (NA) #39 opened the door to the resident’s room while talking to another resident. NA#39 then turned, saw the surveyor in the room, and closed the door without knocking or announcing themselves prior to entry.
During an interview on 08/14/25 at 1:55 PM with Unit Manager #41, when asked about the incident, the Unit Manager stated: “No, she should have knocked, I will talk to her about it now.
A record review of the facility’s Policies and Standard Procedures dated 08/14/25 revealed the following under Procedure, Section B – “When providing care” “i.
Knock before entering the resident room if the door is closed – Wait for answer.” “ii. If no answer, knock a second time before entering and announce your entrance.” The facility failed to follow its policy and ensure resident privacy and dignity when staff entered Resident #20’s room without knocking.
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
515170 08/20/2025
Summers Healthcare Center 198 John Cook Nursing Home Road Hinton, WV 25951
Federal health inspectors cited SUMMERS HEALTHCARE CENTER in HINTON, WV for a deficiency under regulatory tag F-F0552 during a standard health inspection conducted on 2025-08-20.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Ensure that residents are fully informed and understand their health status, care and treatments.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of SUMMERS HEALTHCARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-21.
Federal health inspectors cited SUMMERS HEALTHCARE CENTER in HINTON, WV for a deficiency under regulatory tag F-F0578 during a standard health inspection conducted on 2025-08-20.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of SUMMERS HEALTHCARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-21.
Federal health inspectors cited SUMMERS HEALTHCARE CENTER in HINTON, WV for a deficiency under regulatory tag F-F0584 during a standard health inspection conducted on 2025-08-20.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of SUMMERS HEALTHCARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-21.
Federal health inspectors cited SUMMERS HEALTHCARE CENTER in HINTON, WV for a deficiency under regulatory tag F-F0610 during a standard health inspection conducted on 2025-08-20.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Respond appropriately to all alleged violations.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of SUMMERS HEALTHCARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-21.
Federal health inspectors cited SUMMERS HEALTHCARE CENTER in HINTON, WV for a deficiency under regulatory tag F-F0644 during a standard health inspection conducted on 2025-08-20.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of SUMMERS HEALTHCARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-21.
During an interview with the Director of Nursing (DON) in the afternoon of 08/20/25 she confirmed there was no further information she could provide related to Resident #85's complaints of pain.
She agreed the care plan had not been implemented in regards to pain management.
515170 08/20/2025
Summers Healthcare Center 198 John Cook Nursing Home Road Hinton, WV 25951
Federal health inspectors cited SUMMERS HEALTHCARE CENTER in HINTON, WV for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-08-20.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of SUMMERS HEALTHCARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-21.
the conclusion a meal was not served and that they could not solidly conclude Resident #61 did it.
Administrator reported she was unsure of the follow-up for the incident until she looked at the Facility
On 08/12/2025 at 04:25 PM, the Administrator reported they brought before the Quality Assurance and Performance Improvement (QAPI) committee review of NPO residents to be with like residents (NPO) or residents that take their meals in the dining room.
There was no education outlined for residents with modified diets in the QAPI plan.
515170 08/20/2025
Summers Healthcare Center 198 John Cook Nursing Home Road Hinton, WV 25951
Federal health inspectors cited SUMMERS HEALTHCARE CENTER in HINTON, WV for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-08-20.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of SUMMERS HEALTHCARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-21.
Federal health inspectors cited SUMMERS HEALTHCARE CENTER in HINTON, WV for a deficiency under regulatory tag F-F0691 during a standard health inspection conducted on 2025-08-20.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of SUMMERS HEALTHCARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-21.
The facility failed to notify the physician when the ordered Oxycodone solution was unavailable and failed to obtain an alternative pain management order despite the availability of liquid morphine. c) Resident #73 During an interview on 08/11/2025 at 2:38 PM, Resident #73 stated that he received pain medications every six (6) hours for pain at the site of a left great toe amputation. He stated the pain medication was effective but sometimes he had pain in between pain medication administration. He stated he believed he was having phantom pain at the amputation site.
A nursing note written on 8/17/2025 at 2:13 PM stated, Resident approached this nurse and stated he is having some numbness and tingling in his left foot. He also states he has been getting strangled on food and drink during meals. He states that it does not happen during every meal, but it is becoming more of an issue for him. [Physician] notified of these new issues.
Orders obtained: ST [speech therapy] eval [evaluation] and treat. He stated he will address the numbness and tingling tomorrow when he comes in.
Orders noted.
Resident has capacity and is aware.
On 08/18/25 at 4:36 PM, Resident #73 confirmed he was having numbness and tingling at his amputation site. He stated he had not been seen by the physician today.
On 08/20/2025 at 10:55 AM, the Director of Nursing (DON) stated there was no documentation the physician had evaluated or prescribed treatment for the resident's numbness and tingling after the resident had reported it on 08/17/25.
515170 08/20/2025
Summers Healthcare Center 198 John Cook Nursing Home Road Hinton, WV 25951
Federal health inspectors cited SUMMERS HEALTHCARE CENTER in HINTON, WV for a deficiency under regulatory tag F-F0756 during a standard health inspection conducted on 2025-08-20.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of SUMMERS HEALTHCARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-21.
Federal health inspectors cited SUMMERS HEALTHCARE CENTER in HINTON, WV for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-08-20.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of SUMMERS HEALTHCARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-21.
Federal health inspectors cited SUMMERS HEALTHCARE CENTER in HINTON, WV for a deficiency under regulatory tag F-F0770 during a standard health inspection conducted on 2025-08-20.
Category: Administration Deficiencies
The facility was found deficient in the following area: Provide timely, quality laboratory services/tests to meet the needs of residents.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of SUMMERS HEALTHCARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-21.
Review of the resident's tray ticket showed he was to get double fruit portions for lunch and dinner.
The tray ticket also stated he was to get one (1) garlic bread, one (1) vanilla ice cream, coffee or tea and whole milk. PBJS w/ chips was also hand-written on the tray ticket.
Observation of the resident's tray showed he had received the following: two (2) peanut butter and jelly sandwiches, chips, one (1) fruit cocktail cup, a carton of milk, and a hot beverage. He also had a bowl with a lid.
When the resident opened the bowl, it was found to have a piece of garlic bread in it.
The resident did not have the ice cream that was indicated on the ticket. He also did not have the double fruit portions that were indicated on the ticket.
The resident stated he liked fruit and ice cream and would eat them if provided.
On 08/14/2025 at 12:17 PM, the Administrator confirmed the resident had not received double portions of fruit or vanilla ice cream.
The resident stated he would like to have them.
The Administrator stated she would get them for the resident.
515170 08/20/2025
Summers Healthcare Center 198 John Cook Nursing Home Road Hinton, WV 25951
During an interview on 08/11/2025 at 11:33 AM, Resident #112 stated, The food sucks, but did not elaborate.
Upon further questioning, the resident stated he always ate in his room and the food was not always hot when he received his tray. d) Resident #20 An interview on 08/11/2025 at 3:00 PM with Resident #20 who stated, The food is horrible, and they do not give you enough. We don't get to choose something different because they never have what is on the alternate. I am supposed to get 2 eggs bacon and a slice of toast for breakfast.
However, I do not always get them even though that's what my ticket says. Resident #20 continued to say, And whatever we do get is served cold.
515170 08/20/2025
Summers Healthcare Center 198 John Cook Nursing Home Road Hinton, WV 25951
individual needs.
served food prepared in a form designed to meet their individual needs.
Resident identifier: #82.
noontime meal on the d-hall of the facility found Resident #82 was served regular spaghetti, regular sliced zucchini, and a regular slice of bread.
Nurse Aide #82 stated she wanted to confirm with the kitchen that he had the right thing because he usually has pureed.
Regional Dietary Manager #155 then presented to the hallway. He was asked to confirm the resident's diet was correct. He viewed the tray and stated it was okay to serve the resident the meal provided on his tray.
The resident's diet order was for Dysphagia Mechanical Soft Texture.
During an interview and observation on 08/14/25 with Resident #82 revealed an un- eaten tray containing spaghetti un-cut noodles with meat sauce over the top and a bowl of round zucchini, when asked how was his lunch he said Sh*t, I cant eat that They know I don't have any fkg teeth. I was supposed to get tomato soup.
Further observation of the tray ticket revealed tomato soup was marked out with a black marker. On 08/14/2025 at 12:55 PM, a test tray containing spaghetti with meat sauce, parmesan baked zucchini, garlic bread and ice cream, was provided to the state surveyors.
The zucchini was not prepared per the recipe.
The zucchini was not baked, but was boiled.
The zucchini was sliced with seeds and skins.
Today's zucchini was sliced into one (1) to two (2) inch pieces in width (as measured with a ruler by the state surveyor) and boiled.
The zucchini was judged to be bitter, tough, hard to chew, watery, stringy and rubbery by the state surveyors and was unable to be mashed with a fork.
Recipe provided by the Regional Dietary Manager was for seasoned, baked zucchini.On 08/14/2025, the menu/recipe called for Zucchini, Parmesan Baked (fresh).
The zucchini served to the residents and the state surveyors was boiled without flavor/spices added.
Corporate Recipe Number 1462 listed the ingredients and procedures as follow: Amount 24 lb - Squash, Zucchini, Fresh1 1/3 Tbsp. - Spice, Pepper, Black , Ground2 Cup - oil, Olive, Blend1/1/2 Qt - Cheese, Parmesan, Grated1 Cup - Garlic, Minced/Chopped, In Water Procedures:1.
Wash, cut ends, wash and slice squash into 1 inch slices.2.
Toss lightly with olive oil and pepper.3.
Combine the parmesan cheese and minced/chopped garlic.
Mix and sprinkle over the zucchini.4.
Bake at 400'F for about 15 minutes or until the zucchini are tender and the cheese is browned. On 08/14/2025 at approximately 01:30 PM, the state surveyor Interviewed [NAME] #38 who reported there was no parmesan and stated, We did not have it. and the zucchini was not baked.
On 08/14/2025, the state surveyor interviewed [NAME] #138 concerning diet menus and [NAME] #138 replied they don't use menus and stated, I didn't know we had a recipe. [NAME] #138 reported they don't use recipes.
When asked what they use to determine consistencies, [NAME] #138 reported the Regional Dietary Manager (RDM) checks it.Regional Dietary Manager #155 reported they use the National Dysphagia Diet (NDD) guidelines and provided the NDD guidelines for a Dysphagia Mechanical Soft Diet which stated, Vegetables: Foods to Avoid: other fibrous or rubbery vegetables and Any pieces larger than 1/2 in size.A Diet Manual Addendum was provided to the state surveyors dated 07/15/2025.
The addendum stated: Healthcare Services Group (HCSG) has agreed to implement a diet consistency framework that supports the following diets:-Dysphagia Advanced - ground meats-Dysphagia Mechanical Soft - ground meats-Chopped Vegetables - is approximately 1.5 cm or approximately the size of a dime or approximately the size of the width of a fork.On 08/18/2025 at 01:30 PM, Director of Nursing reviewed the addendum and stated, Mechanical soft diets would be a softer ground meat and would get chopped vegetables, but went to ask dietician for clarification.
The Registered Dietician stated, vegetables are usually chopped for mechanical soft.On 08/18/2025 at 02:05 PM, the Regional Registered Dietician reported diets are based on the diet guide and the guide aligns with the tray tickets.
The Regional Registered Dietician reported the diet guides are based on the NDD.
The Regional Registered Dietician reported she would reach out to corporate for alignment of menus and NDD guidelines.
515170 08/20/2025
Summers Healthcare Center 198 John Cook Nursing Home Road Hinton, WV 25951
09/30/24, stated the Resident's favorite meal is dinner, and he likes cold cereal and dislikes pork.
and macaroni casserole.
The Regional Dietary Manager #155 was asked about this substitution on 08/14/25 mid-afternoon.
The Regional Dietary Manager stated the previous Dietary Director and several of the dietary staff had walked out on Friday (08/08/25).
The Dietary Manager had failed to place the Friday food order for the facility, and he had to make an emergency food order on Sunday.
Therefore, they were out of several things, and had been having to substitute menu items based on what they had available.
The Regional Dietary Director confirmed they had substituted ham for beef in the macaroni casserole by providing a copy of the Menu Substitution Log.
515170 08/20/2025
Summers Healthcare Center 198 John Cook Nursing Home Road Hinton, WV 25951
Federal health inspectors cited SUMMERS HEALTHCARE CENTER in HINTON, WV for a deficiency under regulatory tag F-F0807 during a standard health inspection conducted on 2025-08-20.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Scope/Severity Level J: isolated, immediate jeopardy to resident health or safety.
This represents an immediate jeopardy situation, the most serious level of deficiency.
This was one of 27 deficiencies cited during this inspection of SUMMERS HEALTHCARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-21.
kitchen was going to send them out later.
515170 08/20/2025
Summers Healthcare Center 198 John Cook Nursing Home Road Hinton, WV 25951
serve food in accordance with professional standards.
record review, staff interview and observation, the facility failed to ensure food was stored in
to affect more than a limited number of residents. FACILITY:FACILITY.
Facility Census: 102Findings included: a) The facility's policy and procedure for Receiving and Storage of Food stated, Date the food packages and store them properly. when receiving items, Dry Foods - Store opened packages in closed, labeled containers. and Frozen Food - tightly wrap open bags and boxes to prevent freezer burn.
The facility's policy and procedure for Storage of Resident Food included: Daily monitoring for refrigerated storage duration and discard of any food item that may have been stored for >7 days.
Regional Dietary Manager #155 confirmed dating for opened items was seven (7) days for thickened liquids and food items. b) On 08/11/2025 at 10:18 AM, the kitchen investigation was initiated with Regional Dietary Manager (RDM) #155.
The following items were found: b1) Imperial Thickened Liquid - Lemon Water - opened and no use by date.b2) [NAME] Spaghetti not sealed with no use by date.
RDM #155 stated, I'll just discard these. b3) Pancake Syrup - opened and no use by date b4) Frozen green beans - not labeled and no use by date.b5) Chicken pot pie mix - not labeled or dated. c) On 08/13/2025 at 09:05 AM, LPN # 16 confirmed the following items in the nourishment pantry for C and D Halls: c1) Simply Thick Easy Mix - opened and no use by date.c2) Foldgers Classic Roast Instant Coffee - Opened and not dated.c3) [NAME] Whole Grain Bread - opened and not sealed. d) On 08/13/2025 at 09:15 AM, Licensed Practical Nurse (LPN) # 79 confirmed the following items in the nourishment pantry for A and B Halls: d1) Talenti Dairy Free Sorbetto - opened and not dated.d2) Nestle Cookie Dough Ice Cream by Toll House - opened and not dated.d3) [NAME] Deluxe Chocolate Ice Cream - opened and not dated.d4) Great Value Sweet Relish - opened and not dated.d5) Hidden Valley Ranch Dressing - opened and dated 05/19/2025-05/21/2025.d6) Thickened Sweetened Tea with Lemon Flavor -opened with no use by date.d7) LiquaCel - dated 7/23 - no use by date.d8) Powerade - opened and no use by date.d9) Simply Thick Easy Mix - opened and no use by date.
515170 08/20/2025
Summers Healthcare Center 198 John Cook Nursing Home Road Hinton, WV 25951
Federal health inspectors cited SUMMERS HEALTHCARE CENTER in HINTON, WV for a deficiency under regulatory tag F-F0842 during a standard health inspection conducted on 2025-08-20.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of SUMMERS HEALTHCARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-15.
Findings included:a) Resident #43 The facility's skills checklist for competency titled Uncomplicated Dressing Change, with no implementation date given, stated to remove perform hand hygiene after removing soiled gloves and donning additional gloves.
The facility's policy and procedure titled Standard Precautions, with no implementation date given, stated to perform hand hygiene when moving from a contaminated body site to a clean body site. An example given was when performing perineal care and then performing a dressing change. On 08/13/2025 at 3:32 PM, observation was made of Licensed Practical Nurse (LPN) #16 performing Resident #43's pressure ulcer dressing changes.
The Infection Preventionist was assisting with positioning of the resident. LPN #16 removed the dressing on the resident's left trochanter pressure ulcer. He changed gloves but did not perform hand hygiene. He then cleansed the wound and changed gloves again without performing hand hygiene.
After applying the new dressing, LPN #16 again changed gloves without performing hand hygiene.
The resident was incontinent of stool. LPN #16 performed incontinent care with wet wipes and changed the resident's brief.
Following this, he changed gloves but did not perform hand hygiene.
LPN #16 then changed the dressing on the resident's left ischium. He changed gloves after removing the old dressing and after cleansing the wound.
However, he did not perform hand hygiene.
Following the completion of the left ischium dressing change, LPN #16 removed his gloves a final time and performed hand hygiene using hand sanitizer.
When questioned, LPN #16 acknowledged he did not perform hand hygiene when changing gloves during the dressing changes and after incontinence care.
No further information was provided through the completion of the survey process.
Review of Resident #43's physician's orders showed an order written on 08/19/25 for contact isolation for extended-spectrum beta-lactamase (ESBL) infection of the urinary tract.
Prior to this, the resident was on enhanced barrier precautions due to having an indwelling urinary catheter and wounds with dressings.
Outside the resident's room was a sign stating the resident was in contact precautions and staff must gown and glove at the door. On 08/20/2025 at 9:00 AM, Nursing Assistant (NA) #109 was observed feeding Resident #43 in the resident's room. NA #109 was sitting in a chair beside the resident's bed and not wearing a gown or gloves.
When questioned, NA #109 stated she didn't know the resident was now in contact isolation.
She said she didn't notice the sign change from enhanced barrier precautions to contact isolation. b) Resident #107 Review of Resident #107's physician's orders showed an order written on 08/08/25 for contact isolation and enteric precautions due to Clostridioides difficile or C diff.
Outside the resident's room was a sign stating the resident was in contact enteric precautions and staff must gown and glove at the door.
The sign also stated to clean hands with sanitizer when entering the room and wash with soap and water upon leaving the room. (Because C. diff forms spores that are resistant to hand sanitizer, soap and water is a more effective method of hand hygiene.) On 08/19/25 at approximately 1:00 PM, NA #82 was observed taking Resident #107's lunch tray into the room. NA #82 was not wearing a gown or gloves.
While she was in the resident's room, NA #82 set up Resident #107's meal tray,.
While in the room, she also touched the resident's shoulder, wheelchair, and the resident's bed control.
Upon leaving the room, NA #82 did not wash her hands with soap and water.
Instead, she used hand sanitizer located in the hallway.
When questioned, NA #82 stated the precautions only applied to resident care, not to tray delivery. On 08/19/2025 at 2:04 PM, the Director of Nursing (DON) confirmed contact enteric precautions applied to all staff entering Resident #107's room.
515170 08/20/2025
Summers Healthcare Center 198 John Cook Nursing Home Road Hinton, WV 25951
Review of Resident #33's medical record showed an immunization report that stated the resident refused pneumococcal vaccination.
However, the resident's record did not contain a pneumococcal vaccination consent or refusal form which would have contained information that the resident or resident representative were informed of the benefits and potential side effects of the immunization and whether the vaccination was accepted or refused. c) Resident #107 Review of Resident #107's medical record showed an immunization report that stated the resident refused pneumococcal vaccination.
However, the resident's record did not contain a pneumococcal vaccination consent or refusal form which would have contained information that the resident or resident representative were informed of the benefits and potential side effects of the immunization and whether the vaccination was accepted or refused.
On 08/13/2025 at 9:29 AM, the Director of Nursing (DON) stated they do not have these immunization consents or refusals.
She stated the prior Infection Preventionist's immunization consents and refusals could not be located.
515170 08/20/2025
Summers Healthcare Center 198 John Cook Nursing Home Road Hinton, WV 25951
Findings included: On 08/14/25 at 9:45 AM, the administrator reported there was a Quality Assurance and Performance Improvement (QAPI) for flies with increased services added bi-weekly May-October.
Three (3) large fly lights were installed at 2 exit doors to courtyard and main facility entrance.
The Administrator reported there was no specific policy and procedure for pest control.
On 08/13/25 at 9:55 AM, a fly was observed in the dishwasher area. At 12:25 PM, a fly was in the kitchen area around the food service area, near plates and food, and tray line. [NAME] #137 confirmed there was a fly in the area and stated, Yes, he targets me.
On 08/20/25 at 11:36 AM, during the initial interview process, Resident #26 stated, I'm alright if the fly goes away.
The resident reported, A nurse came in and killed four (4) of them.
The resident stated he had been looking for the fly swatter he kept in his room. d) Resident #112 During an interview on 08/11/2025 at 11:32 AM, Resident #112 was noted to have a flyswatter on his overbed table. He stated the flyswatter was for the flies that were always in his room.
Two (2) flies were noted in his room at that time.
Federal health inspectors cited SUMMERS HEALTHCARE CENTER in HINTON, WV for a deficiency under regulatory tag F-F0947 during a standard health inspection conducted on 2025-08-20.
Category: Nursing and Physician Services Deficiencies
The facility was found deficient in the following area: Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of SUMMERS HEALTHCARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-21.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.