Summit Ridge Skilled Nursing & Rehabilitation
Summit Ridge Skilled Nursing & Rehabilitation in Douglas, WY — inspection on April 30, 2026.
Found 1 citation. 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
Review of a provider note dated 4/21/26 showed the resident required assistance with personal cares, was not ambulatory, and was unable to perform ADL's independently due to a recent above the knee amputation.
Review of the care plan dated 4/13/26 showed the resident was dependent upon staff for incontinence care and had interventions which included .Provide incontinence care after each incontinent episode. and .ADL needs will be met each day.
The following concerns were identified:a.
Observation on 4/28/26 at 1:56 PM showed resident #3's call light was on. At 1:58 PM an unidentified staff member entered the room and was told by the resident that two staff members were required to provide care.
The staff member left the resident's room and the call light remained on. At 2:04 PM the unidentified staff member was observed entering the resident's room, turned off the call light, and exited the room.b.
Interview with resident #3 on 4/28/26 at 2:05 PM revealed s/he had waited approximately 45 minutes for the return of two staff members to provide incontinence care and take him/her to the shower.
The resident confirmed s/he was dependent upon staff for incontinence care.
In addition, the resident revealed it was not unusual to wait an hour or more for incontinent care. c.
Observation on 4/28/26 at 2:15 PM showed CNA #1, CNA #2, and CNA #3 entered the resident's room with a mechanical lift and provided incontinence care.
The resident stated Might as well take the gown off, it's soaking wet.
Continued bservation showed the resident's bedding was removed and the mattress was wet.
Interview with CNA #1 at that time confirmed the resident's brief and gown were wet.2.
Interview with the DON on 4/29/26 at 11:27 AM revealed Anyone who requires assistance receives the care they need and Staff were expected to answer call lights and provide incontinence care at the time of need3.
Review of the incontinence policy last revised 4/2025 showed .All residents that are incontinent will receive appropriate treatment and services.
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
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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.