Summers Healthcare Center
Inspection Findings
F-Tag F0550
F 0550
The facility failed to follow its policy and ensure resident privacy and dignity when staff entered Resident #20’s room without knocking.
Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/20/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Summers Healthcare Center
198 John Cook Nursing Home Road Hinton, WV 25951
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0552
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.
F-Tag F0578
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.
F-Tag F0584
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.
F-Tag F0610
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.
F-Tag F0644
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.
F-Tag F0656
F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
new Tylenol order was entered. -- Acetaminophen Extra strength oral tablet 500 mg Give 2 tablets by mouth every eight (8) hours as needed for pain. Order effective date 05/16/25 and current at the time of this review. A review of the medication administration records for the months of 05/2025, 06/2025, 07/2025 and 08/2025 found the following occasions when Registered Nurse (RN) #44 documented the resident was experiencing pain but provided no interventions to treat the pain nor did she contact the practitioner about
the resident experiencing pain. Day Shift: --05/05/25 pain score of 5. -- 05/06/25 pain score of 5.-- 05/11/25 pain score of 10. -- 05/14/25 pain score of 8. -- 05/23/25 pain score of 2. -- 05/29/25 pain score of 2. -06/07/25 pain score of 2. -- 06/16/24 pain score of 3. -- 06/17/24 pain score of 3. --06/23/25 pain score of 2. -- 07/04/25 pain score of 1. -- 07/05/25 pain score of 8. -- 07/10/25 pain score of 2. -- 07/20/25 pain score of
- 3. -- 07/21/25 pain score of 2. -- 07/28/25 pain score of 8. -- 07/29/25 pain score of 3. -- 08/01/25 pain score
of 3. -- 08/06/25 pain score of 3. -- 08/07/25 pain score of 3. Nigh Shift: -- 07/29/25 pain score of 3. Further
review of the MAR's for this time period found the non- pharmacological interventions nor the PRN pain medications was never provided by RN #44. A review of the progress notes found no indication the physician was notified of the residents reports of pain. 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.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/20/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Summers Healthcare Center
198 John Cook Nursing Home Road Hinton, WV 25951
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0657
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.
F-Tag F0684
F 0684 Level of Harm - Actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
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.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/20/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Summers Healthcare Center
198 John Cook Nursing Home Road Hinton, WV 25951
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0689
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.
F-Tag F0691
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.
F-Tag F0697
F 0697
07/25/25 5:18 PM: Physician ordered Oxycodone HCL oral solution 5 mg/5ml, 7.5 mL four times daily for pain. Documentation noted the medication was awaiting arrival from the pharmacy.
Level of Harm - Actual harm Residents Affected - Some
07/25/25 8:00 PM: Nursing note documented resident was nonresponsive to verbal/tactile stimuli and unable to take medications. 07/25/25 10:00 PM: CNA found resident without respirations or pulse. Resident pronounced deceased at 10:00 PM.
The last documented effective pain medication was at 1:32 PM on 07/25/25, approximately 8.5 hours
before the resident’s death.
Interview with LPN #78 (08/18/25 at 3:00 PM):LPN stated “we don’t have liquid Oxycodone in
the e-box for pain, we do have liquid morphine available.”
Interview with Director of Nursing (08/19/25 at 11:20 AM): The DON confirmed the physician should have been notified that the ordered Oxycodone solution was not available in the emergency box. The DON stated
the physician could have given an order for morphine, which was available in the emergency box.
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.
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/20/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Summers Healthcare Center
198 John Cook Nursing Home Road Hinton, WV 25951
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0756
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.
F-Tag F0761
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.
F-Tag F0770
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.
F-Tag F0803
F 0803
b) Resident #112
Level of Harm - Minimal harm or potential for actual harm
During an interview on 08/11/2025 at 11:33 AM, Resident #112 stated, the food sucks, but did not elaborate.
Residents Affected - Some
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.
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/20/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Summers Healthcare Center
198 John Cook Nursing Home Road Hinton, WV 25951
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0804
F 0804 Level of Harm - Minimal harm or potential for actual harm
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.
The Garlic Bread was judged to be tough on the outside edges.
Residents Affected - Some Last tray from cart temped by DM #158, new tray requested for the resident - had to make more puree secondary to being out.
On 08/18/25 at 12:52 PM, the temperatures of the last tray served on D hall were confirmed and taken by Dietary Manager #158. The temperatures were as follows for the puree tray: Carrots 111 degrees Pot Pie 109 degrees Bread 107 degrees Pudding 75 degrees
On 08/11/2025 at 12:21 PM, during the initial screening process, Resident #35 reported the food served was cold and tough. She reported there was an argument in the kitchen yesterday and they did not get their ordered food. The resident also stated, the food is cold because they leave it out there (indicating the hallway) and do not deliver until late. c) Resident #112
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.
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/20/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Summers Healthcare Center
198 John Cook Nursing Home Road Hinton, WV 25951
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0805
F 0805 Level of Harm - Minimal harm or potential for actual harm
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.
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/20/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Summers Healthcare Center
198 John Cook Nursing Home Road Hinton, WV 25951
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0806
F 0806 Level of Harm - Minimal harm or potential for actual harm
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.
Residents Affected - Few
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.
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/20/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Summers Healthcare Center
198 John Cook Nursing Home Road Hinton, WV 25951
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0807
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.
F-Tag F0809
F 0809
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.
Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/20/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Summers Healthcare Center
198 John Cook Nursing Home Road Hinton, WV 25951
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0812
F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
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: 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.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/20/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Summers Healthcare Center
198 John Cook Nursing Home Road Hinton, WV 25951
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0842
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.
F-Tag F0880
F 0880
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.
Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/20/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Summers Healthcare Center
198 John Cook Nursing Home Road Hinton, WV 25951
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0883
F 0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Level of Harm - Minimal harm or potential for actual harm
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.
Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/20/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Summers Healthcare Center
198 John Cook Nursing Home Road Hinton, WV 25951
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0925
F 0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Level of Harm - Minimal harm or potential for actual harm
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
Residents Affected - Some
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.
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
F-Tag F0947
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.
SUMMERS HEALTHCARE CENTER in HINTON, WV inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in HINTON, WV, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from SUMMERS HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.