Above average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Sumner Place during CMS and state inspections, most recent first.
Surveyors observed that kitchen staff did not follow required hand hygiene practices, washing hands for less than the mandated 20 seconds and failing to wash hands after activities such as touching the face and handling various kitchen items. Additionally, chicken served as part of a meal was not cooked to the required internal temperature of 165°F, with staff serving it at 144°F without reheating or rechecking. These failures affected nearly all residents who consumed food from the kitchen, and the facility lacked specific policies for handwashing and food temperature monitoring.
A resident with multiple medical conditions and existing pressure ulcers did not consistently receive prescribed wound care interventions, including the application of skin protectant and bordered gauze dressings. Observations showed that required dressings were missing, DermaSaver Finger Separators were used inappropriately, and infection control protocols were not followed during wound care. Staff interviews confirmed that wound care orders were not fully implemented, resulting in a failure to provide appropriate pressure ulcer care.
A resident with multiple medical conditions and Stage 3 pressure ulcers on both hands had DermaSaver Finger Separators placed directly against untreated wounds without dressings. During wound care, an LPN failed to change gloves or perform hand hygiene after handling contaminated items and before treating the wounds, and staff confirmed these actions did not follow proper infection control practices.
Failure to Ensure Proper Hand Hygiene and Safe Food Temperatures During Meal Preparation
Penalty
Summary
The facility failed to ensure proper hand hygiene and food safety practices during food preparation, as observed by surveyors. Cook-A was seen repeatedly washing hands for less than the required 20 seconds, with handwashing durations ranging from 6 to 12 seconds, despite the facility's hand hygiene competency and the Nebraska Food Code specifying a minimum of 20 seconds. Cook-A also engaged in multiple activities that required handwashing, such as touching the face, adjusting glasses, wiping hands on clothing, and handling various kitchen equipment and food items, but did not consistently wash hands appropriately between these tasks. The facility did not have a specific handwashing policy for the kitchen, and staff were expected to follow the food code. Additionally, the facility failed to ensure that chicken used in the Sesame Chicken dish was cooked to the required internal temperature of 165 degrees Fahrenheit. Cook-A checked the temperature of the tempura chicken and found it to be 144 degrees Fahrenheit, but proceeded to serve the chicken without reheating or rechecking the temperature. The Dietary Manager confirmed that the chicken should have reached at least 165 degrees Fahrenheit before being served. The food temperature log also indicated that the beginning temperature for the chicken was below the required threshold. These deficiencies had the potential to affect 77 of the 78 residents who consumed food prepared in the facility's kitchen. The Administrator confirmed that there were no specific policies for handwashing or food temperature checks in the kitchen, and that staff were expected to adhere to the food code. The observations and interviews confirmed that proper procedures were not followed, leading to the identified deficiencies.
Failure to Implement and Maintain Pressure Ulcer Interventions
Penalty
Summary
A deficiency occurred when the facility failed to implement appropriate interventions to heal and protect pressure ulcers for a resident with multiple medical conditions, including moderate protein-calorie malnutrition, dementia, cerebral infarction, and Parkinson's disease. The resident was dependent on staff for all activities of daily living and mobility, and was identified as being at risk for pressure ulcers, with existing Stage 1, Stage 2, and Stage 3 ulcers. The care plan and wound care orders specified the use of skin protectant, Mepilex, ABD pads wrapped with InterDry, and bordered gauze dressings for the resident's finger wounds. Despite these orders, multiple observations revealed that the resident did not have the required dressings or ABD pad with InterDry in place on either hand. Instead, DermaSaver Finger Separators were found directly against the resident's untreated, uncovered wounds. During wound care, an LPN failed to change gloves or perform hand hygiene after handling contaminated DermaSaver Finger Separators and before treating the wounds, which is inconsistent with infection control protocols. Interviews with staff confirmed that the DermaSaver Finger Separators were not effective and were not supposed to be used at that time, and that the required dressings were not consistently applied as ordered. Further review and interviews established that the wound care orders from the APRN required bordered gauze dressings for both the left and right 5th finger wounds, but staff did not consistently apply these dressings, particularly on the right hand. The DON confirmed that a border dressing should have been applied to the right-hand 5th digit per the APRN's order. These failures resulted in the resident not receiving the prescribed wound care interventions to promote healing and prevent further injury.
Failure to Maintain Infection Control During Wound Care
Penalty
Summary
A deficiency was identified when a resident with multiple medical conditions, including dementia, stroke, Parkinson's disease, and moderate protein-calorie malnutrition, was observed to have DermaSaver Finger Separators placed directly against untreated, uncovered Stage 3 pressure ulcers on both 5th digits (pinky fingers). The resident was dependent on staff for all activities of daily living and had a history of unhealed pressure ulcers, with care plans specifying the use of dressings and moisture-wicking materials to protect the wounds and promote healing. Multiple observations revealed that the DermaSaver Finger Separators were in place without appropriate wound dressings, allowing the fabric to come into direct contact with open wounds. During wound care, an LPN removed the contaminated finger separators and placed them on a surface, then proceeded to perform wound care on the same hand without changing gloves or performing hand hygiene. The same process was repeated on the other hand, again without appropriate glove changes or hand hygiene between handling contaminated items and performing wound care. Interviews with facility staff confirmed that glove changes and hand hygiene should have occurred between removing the contaminated finger separators and performing wound care. Staff also acknowledged that the finger separators should not have been applied before wound care was completed, as this could present an infection control concern. Additionally, the facility administrator confirmed there was no specific handwashing policy in place, although handwashing competencies were conducted facility-wide.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Lincoln
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Emerald Nursing & Rehab Lancaster Llc | 0.8 mi | ★★★★★ | 5 | 0 |
| Ambassador Health Of Lincoln | 1.8 mi | ★★★★★ | 3 | 0 |
| Eventide Lincoln Care Center | 2.1 mi | ★★★★★ | 4 | 0 |
| St. Jane De Chantal | 2.3 mi | ★★★★★ | 27 | 0 |
| Heartland Ridge Care Center | 2.5 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.