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
The facility failed to follow its policy and ensure resident privacy and dignity when staff entered Resident #20’s room without knocking.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Summers Healthcare Center
198 John Cook Nursing Home Road Hinton, WV 25951
SUMMARY STATEMENT OF DEFICIENCIES
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.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Summers Healthcare Center
198 John Cook Nursing Home Road Hinton, WV 25951
SUMMARY STATEMENT OF DEFICIENCIES
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.
served and that they could not solidly conclude Resident #61 did it.
The Administrator reported the was no follow-up education for other NPO residents.
The Administrator reported she was unsure of the follow-up for the incident until she looked at the Facility Reported Incident.
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.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Summers Healthcare Center
198 John Cook Nursing Home Road Hinton, WV 25951
SUMMARY STATEMENT OF DEFICIENCIES
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.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Summers Healthcare Center
198 John Cook Nursing Home Road Hinton, WV 25951
SUMMARY STATEMENT OF DEFICIENCIES
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.
During an interview on 08/11/2025 at 11:33 AM, Resident #112 stated, the food sucks, but did not elaborate.
On 08/14/2025 at 12:04 PM, Resident #112 was observed eating lunch in his room. He stated he did not like spaghetti, which was on the menu for the day. He stated he received two (2) peanut butter sandwiches but ,I'm getting tired of peanut butter.
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.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Summers Healthcare Center
198 John Cook Nursing Home Road Hinton, WV 25951
SUMMARY STATEMENT OF DEFICIENCIES
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.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Summers Healthcare Center
198 John Cook Nursing Home Road Hinton, WV 25951
SUMMARY STATEMENT OF DEFICIENCIES
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.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Summers Healthcare Center
198 John Cook Nursing Home Road Hinton, WV 25951
SUMMARY STATEMENT OF DEFICIENCIES
A document in the Resident's medical record identified as Diet History/Food Preferences dated 09/30/24, stated the Resident's favorite meal is dinner, and he likes cold cereal and dislikes pork.
A review of the resident's dinner dining ticket for 08/11/25, shows the resident received cheesy ham 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.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Summers Healthcare Center
198 John Cook Nursing Home Road Hinton, WV 25951
SUMMARY STATEMENT OF DEFICIENCIES
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.
Aide (NA) #31 confirmed the kitchen sent out the trays and didn't have enough pears and reported the kitchen was going to send them out later.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Summers Healthcare Center
198 John Cook Nursing Home Road Hinton, WV 25951
SUMMARY STATEMENT OF DEFICIENCIES
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview and observation, the facility failed to ensure food was stored in accordance with professional standards for food service safety.
This failed practice had the potential to affect more than a limited number of residents. FACILITY:FACILITY.
Facility Census: 102
Findings 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.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Summers Healthcare Center
198 John Cook Nursing Home Road Hinton, WV 25951
SUMMARY STATEMENT OF DEFICIENCIES
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.
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.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Summers Healthcare Center
198 John Cook Nursing Home Road Hinton, WV 25951
SUMMARY STATEMENT OF DEFICIENCIES
Based on record review and staff interview, the facility failed to provide influenza and pneumococcal vaccines within accepted standards of practice.
The facility failed to retain documentation that residents or their resident representatives received education regarding the vaccines and failed to retain documentation as to whether the vaccines were accepted or refused.
These deficient practices had the potential to affect three (3) of five (5) residents reviewed for the care area of influenza and pneumococcal immunizations.
Resident Identifiers: #20, #33, #107.
Facility census: 102.Findings Included: Policy ReviewThe facility's policy titled Resident Immunization Overview with no implementation or revision date given stated the resident or resident party will be asked to accept or decline influenza and pneumococcal vaccinations by completing the influenza and pneumococcal consent or declination forms. a) Resident #20Review of Resident #20's medical record showed an immunization report that stated the resident received influenza vaccination on 10/22/24.
However, the resident's record did not contain a 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. b) Resident #33 Review of Resident #33's medical record showed an immunization report that stated the resident received influenza vaccination on 10/08/24.
However, the resident's record did not contain an influenza 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.
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.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Summers Healthcare Center
198 John Cook Nursing Home Road Hinton, WV 25951
SUMMARY STATEMENT OF DEFICIENCIES
Based on observation, record review, staff interview and resident interview, the facility failed to ensure food preparation/food service areas and resident rooms were free from visible signs of insects.
This failed practice had the potential to affect more than a limited number of residents: Resident identifiers: #26 and #112.
Facility Census:102
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.
Facility ID:
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.