Above average — CMS composite of the measures below.
The next survey window likely opens around December 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 Summit Hills Skilled Nursing Facility during CMS and state inspections, most recent first.
Late issuance of NOMNC forms for 2 residents. The facility did not issue the NOMNC at least 48 hours before the last covered day for two residents. One resident had intact cognition and a hx of joint replacement aftercare with a left artificial shoulder joint; the other had moderate cognitive impairment with dx including pneumonitis, pleural effusion, and gastrostomy status. The SW said she discussed discharge ahead of time but issued the form the day before, and the Administrator confirmed both notices were given 24 hours before the last covered day instead of 48 hours.
The facility failed to develop individualized care plans for two residents receiving respiratory services. One resident with COPD, respiratory failure, and obstructive sleep apnea had CPAP use documented in records and observed at the bedside, but CPAP was not included in the care plan. Another resident with Alzheimer’s disease was documented and observed on continuous oxygen, but oxygen use was not included in the care plan. The DON and Administrator confirmed the omissions.
The facility failed to ensure physician orders were in place for respiratory services for two residents. One resident had COPD, respiratory failure, and sleep apnea, with records showing CPAP use at bedtime and staff observations of the CPAP in place, but no CPAP order was found. Another resident had Alzheimer’s disease and documented oxygen use, including 2 liters via nasal cannula, but the chart contained only an order for tubing and humidifier changes and no order for oxygen administration, liters, or delivery method.
The facility failed to ensure proper food storage and handling, affecting all 24 residents. Observations revealed unsealed and unlabeled food items, outdated products, and improper hair covering use by a utility aide. The Dietary Manager and Director of Dining verified these issues, with the Director expressing embarrassment and emphasizing adherence to policies and infection control.
A facility failed to maintain communication with a dialysis center for a resident with ESRD, lacking documentation of the resident's condition and care plan details. The DON admitted the absence of dialysis sheets and inconsistent return of the dialysis book, leading to a lack of knowledge about the resident's weight and fluid removal. The Administrator acknowledged the need for improved communication to ensure proper care.
Late issuance of NOMNC forms for 2 residents
Penalty
Summary
The facility failed to issue a Notice of Medicare Non-Coverage (NOMNC) in the required time frame for 2 of 3 residents reviewed for beneficiary notices. Facility policy titled, Medicare Advance Beneficiary and Medicare Non-Coverage Notices, stated that when a resident's Medicare-covered Part A stay or all Part B therapies are ending, the NOMNC is to be issued at least two calendar days before benefits end. Review of records showed that one resident was admitted with a history of aftercare following joint replacement surgery with a left artificial shoulder joint and had intact cognition with a BIMS score of 15. The resident's NOMNC listed the last covered day of skilled services as 01/22/26, and the resident's POA/family was notified verbally by phone on 01/21/26. A second resident was admitted with diagnoses including pneumonitis due to inhalation of food and vomit, pleural effusion, and gastrostomy status, and had moderate cognitive impairment with a BIMS score of 11. The resident's NOMNC listed the last covered day of skilled services as 12/12/2025, and the resident's family was notified verbally on 12/11/2025. During interview, the Social Worker stated she talked to residents and responsible parties about discharge several days before the last covered day but did not issue the form until the day before, and the Administrator confirmed that the NOMNC should be issued 48 hours before the last covered day and that both reviewed notices were issued 24 hours before the last covered day.
Failure to Include CPAP and Oxygen in Resident Care Plans
Penalty
Summary
The facility failed to develop individualized, person-centered care plans for 2 residents reviewed for respiratory services. R17 was admitted with diagnoses including pneumonia, respiratory failure, lung disorders, and COPD, and records showed discharge instructions for CPAP use at bedtime, along with clinical notes indicating the resident had obstructive sleep apnea and used CPAP at night. Although R17’s care plan addressed altered respiratory status and oxygen therapy, it did not include the use of CPAP. Observations showed a CPAP machine on the resident’s nightstand with the mask lying on top of the machine in a plastic bag, and the resident stated they were wearing the CPAP mask every night for as long as they could and that it was getting easier to wear. The DON and Administrator stated that CPAP use should have been included in the care plan. R19, who had a diagnosis of Alzheimer’s disease and moderate cognitive impairment, was documented as using oxygen via nasal cannula and as being on 2 liters of continuous oxygen. Despite this, R19’s care plan did not include the use of oxygen. An observation showed the resident lying in bed with the oxygen concentrator on at 2 liters, the humidifier bottle dated 01/02/26, and the tubing dated 01/23/26. The DON confirmed that oxygen should have been included in the care plan and stated that it was not included, and the Administrator stated that oxygen use was expected to be included in the care plan.
Missing Physician Orders for CPAP and Oxygen Therapy
Penalty
Summary
The facility failed to ensure physician orders were in place for respiratory services for 2 residents reviewed for respiratory care. One resident had diagnoses that included pneumonia, respiratory failure, lung disorders, and COPD, and the admission record, hospital discharge summary, and progress notes all referenced CPAP use at bedtime. The discharge summary specified AutoCPAP with a home setting of 10-15 cm of water, and staff notes documented the resident resting with the CPAP in place on multiple occasions. However, the order recap report for the relevant period contained no CPAP order, and the DON confirmed the resident did not have an order for CPAP. The same resident’s care plan addressed altered respiratory status and oxygen therapy, and the MDS indicated oxygen therapy was received, but the record still lacked a physician order for CPAP therapy. During interviews, the DON stated orders should include settings, when to use the device, and the amount of oxygen. The NP stated that if a resident arrived with CPAP orders from the hospital, the facility should continue those orders, and if no orders were present but the resident used CPAP, she would enter the orders after assessment. The NP also stated she was aware the resident had CPAP but did not know the orders were missing. A second resident with Alzheimer’s disease and moderate cognitive impairment had documentation showing oxygen use, including a DON note stating the resident used oxygen via nasal cannula and a nursing note stating the resident was on 2 liters of continuous oxygen. An observation showed the oxygen concentrator running at 2 liters. Despite this, the order recap report contained only an order for oxygen tubing and humidifier changes, with no order specifying oxygen administration, liters, or delivery method. The DON confirmed the resident did not have an oxygen order, only an order for tubing changes, and stated the resident should have an order specifying oxygen usage, liters, monitoring, and filter and tubing changes.
Deficiencies in Food Storage and Handling Practices
Penalty
Summary
The facility failed to ensure proper food storage and handling practices in the kitchen, which had the potential to affect all 24 residents consuming food from the facility. Observations revealed several deficiencies, including a tray with dried blood from thawing meat in the walk-in refrigerator, unsealed bags of processed potatoes and egg rolls in the walk-in freezer, and improperly sealed and labeled items in the dry storage room. Additionally, an outdated bag of rigatoni was found, and an open, partially eaten yogurt container was discovered in the stand-up refrigerator. Furthermore, during a dining room observation, a utility aide was seen serving food with her ponytail hanging out of her hair covering, indicating improper use of hair coverings. The Dietary Manager and the Director of Dining verified these findings, and the Director of Dining expressed embarrassment over the situation, emphasizing the expectation for adherence to facility policies, procedures, and infection control. The Administrator also stated the expectation for the kitchen to comply with regulations and serve nutritious food to residents.
Failure to Communicate with Dialysis Center for Resident Care
Penalty
Summary
The facility failed to maintain proper communication with the dialysis center for a resident diagnosed with End Stage Renal Disease (ESRD) who attended dialysis three times per week. The resident's electronic medical record (EMR) lacked documentation of communication regarding the resident's physical condition, including vital signs and weights, sent to the dialysis center. Additionally, the resident's care plan did not specify what documentation or communication should be sent to the dialysis center before and after dialysis treatment. During the survey, the Director of Nursing (DON) admitted that the facility did not have dialysis sheets and that the dialysis book, which was supposed to accompany the resident, was not consistently returned. The DON also acknowledged that the facility did not know the resident's weight before and after treatment or the amount of fluid removed, relying instead on the dialysis center to inform them of any issues. The Administrator recognized the need for accountability in communication to ensure proper care for the resident.
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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 Spartanburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| White Oak Estates | 1.5 mi | ★★★★★ | 2 | 0 |
| Spartanburg Hospital For Restorative Care Snf | 2.7 mi | ★★★★★ | 1 | 0 |
| Magnolia Manor - Spartanburg | 2.7 mi | ★★★★★ | 0 | 0 |
| White Oak Manor - Spartanburg | 2.9 mi | ★★★★★ | 4 | 0 |
| White Oak At North Grove Inc | 3.6 mi | ★★★★★ | 1 | 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.