Summit Ridge Skilled Nursing & Rehabilitation
Summit Ridge Skilled Nursing & Rehabilitation in Douglas, WY — inspection on September 17, 2025.
Found 2 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
will provide protections for the health, welfare and rights of each resident and prohibit abuse.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/17/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Summit Ridge Skilled Nursing & Rehabilitation
1108 Birch Street Douglas, WY 82633
SUMMARY STATEMENT OF DEFICIENCIES
Review of the significant change MDS assessment dated [DATE] showed resident #1 had a BIMS score of 15 out of 15, which indicated the resident was cognitively intact, and had diagnoses which included hypertension, diabetes mellitus, and arthritis.
Further review showed the resident required partial to moderate assistance with bathing and was wheelchair bound.
Review of the resident's care plan dated 8/26/25 showed that the resident had alterations in ADL function secondary to weakness and pain and required assistance completing ADL task's The following concerns were identified:a.
Interview with the resident on 9/16/25 at 11:33 AM revealed the resident, at times, had gone several days without a shower.
The resident revealed s/he didn't have a specific time preference as long as s/he was offered a shower every couple of days. b.
Interview with the resident's representative on 9/16/25 at 11:21 AM revealed the resident had gone several days without being offered a shower in the past and prior to admission the resident would shower daily.
Further the representative revealed at the time of admission, the resident had requested showers three times per week. c.
Review of the facility bathing schedule showed the resident was scheduled three times weekly on Monday, Wednesday, and Fridays for showering. d.
Review of the resident's bathing history from 7/1/25 through 9/17/25 showed the resident was not provided or offered a shower between 7/8/25 and 7/17/25 (10 days) and between 8/14/25 and 8/22/25 (9 days). e.
Interview with the DON on 9/17/25 at 10:59 AM revealed residents were offered showers on their scheduled days and according to their preference, unless the resident refused or was unavailable.
She revealed staff were expected to document the bathing and any refusals. f.
Interview with the DON on 9/17/25 at 1:28 PM confirmed there was no documentation the resident received or was offered a shower between the dates of 7/8/25 and 7/17/25 or 8/14/25 and 8/22/25. 2.
Review of the facility policy titled Resident Showers last revised 4/2025 showed .Residents will be provided showers as per request or as per facility schedule protocols and based upon resident safety. 3.
Review of the facility policy titled Activities of Daily Living - ADL's last revised 4/2025 showed .A resident who is unable to carry out activities of daily living will receive the necessary services to maintain good nutrition, grooming, and personal hygiene.
Facility ID:
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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.