Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Summerhill Elderliving Home & Care during CMS and state inspections, most recent first.
A resident with Parkinson's and dementia was physically abused by a CNA, who grabbed her hand tightly and took her call light, causing bruising. The resident, assessed as cognitively intact, consistently reported the incident, which was confirmed by an investigation. The facility's abuse prevention policy was not effectively implemented, leading to the CNA's termination.
A resident fell and was injured when a CNA provided ADL care alone, contrary to the care plan requiring two staff members. Another resident received the wrong medications due to an LPN's identification error, leading to hospital admission for observation. Both incidents resulted in harm and were confirmed by facility investigations.
A resident, who was cognitively impaired and dependent on staff for ADL care, fell from the bed and sustained a laceration to the forehead due to unsecured bed bolsters and inadequate staffing. The resident's care plan required two staff members for assistance, but a CNA provided care alone, leading to the accident. The resident was hospitalized and received sutures for the injury.
A resident received the wrong medications due to an LPN's error, and the facility failed to promptly notify the physician or nurse practitioner as required by policy. The error was identified, but there was a delay in notifying the RN Supervisor and no immediate notification to the physician, leading to the resident being hospitalized for monitoring.
A facility failed to report an abuse allegation involving a resident with bruising to law enforcement, as required by their policy. The resident, with multiple diagnoses including dementia, alleged that a CNA caused the bruising. Although the physician, responsible party, and ombudsman were notified, law enforcement was not informed until after surveyor inquiry.
A facility failed to update a resident's care plan to include actual skin impairment, specifically bruising on the right hand, despite a policy requiring revisions as conditions change. The bruising was identified following an alleged staff-to-resident abuse incident. The MDS Coordinator confirmed that the care plan should have been updated, with responsibility lying with the treatment nurse or RN supervisor.
A medication administration error occurred when an LPN administered the wrong medications to a resident after misidentifying him. The resident was hospitalized for monitoring. The LPN documented administering medications after being relieved of duties, despite the resident being at the hospital. This discrepancy highlights a failure to meet professional standards of quality in medication administration and documentation.
A resident in an LTC facility was mistakenly given another resident's medications by an LPN who failed to verify the resident's identity properly. The error led to the resident being hospitalized for observation after experiencing a vasovagal syncope episode. The Medical Director confirmed the error was significant but not life-threatening.
A resident was found with topical medications at their bedside without an assessment or physician orders for self-administration, contrary to facility policy. Staff interviews confirmed that medications should not be left unsecured without proper authorization, highlighting a lapse in adherence to medication management protocols.
Resident Abuse by CNA
Penalty
Summary
The facility failed to protect a resident's right to be free from physical abuse by a Certified Nursing Assistant (CNA). The incident involved a resident with a diagnosis of Parkinson's disease, polyneuropathy, adjustment disorder with mixed anxiety and depression, and dementia, who was assessed as cognitively intact. On the night of the incident, the resident reported that the CNA grabbed her hand tightly and took her call light, resulting in bruises and discoloration on the first three fingers of her right hand. The resident consistently reported the incident to multiple staff members, and the investigation confirmed the occurrence of the abuse. The facility's Abuse Prohibition Policy and Procedures, which were in place to prevent such incidents, were not effectively implemented in this case. The policy defined abuse as the willful infliction of injury or punishment with resulting physical harm or pain. Despite the policy, the CNA's actions led to physical harm to the resident. The facility's documentation and investigation revealed that the CNA was removed from the schedule and subsequently terminated following the confirmation of the abuse.
Staffing and Medication Errors Lead to Resident Harm
Penalty
Summary
The facility failed to provide the appropriate number of staff for Activities of Daily Living (ADL) care as care planned for a resident, resulting in actual harm. The resident, who had impaired cognition, a self-care deficit, and was at risk for falls, required total assistance from two staff members to turn and reposition in bed. However, on the day of the incident, a CNA provided care alone, leading to the resident falling from the bed and sustaining a laceration to the forehead. The resident was sent to the hospital for evaluation and received sutures for the injury. In another incident, the facility failed to administer medications as care planned and ordered for a resident with multiple diagnoses, including hemiplegia, aphasia, and cardiovascular issues. An LPN administered the wrong medications to the resident after incorrectly identifying him, leading to the resident being admitted to the hospital for observation due to potential side effects from the medication error. The LPN had asked the resident if his name was another resident's last name, and the resident, who was known to joke, confirmed the incorrect name. Both incidents highlight deficiencies in following care plans and ensuring proper medication administration, resulting in harm to the residents involved. The facility's investigation confirmed these failures, with staff acknowledging the errors and the Director of Nursing confirming the deviations from the care plans.
Failure to Secure Bed Bolsters and Provide Adequate Staffing Leads to Resident Injury
Penalty
Summary
The facility failed to ensure that bed bolsters were secured and that Activities of Daily Living (ADL) care was provided by the appropriate number of staff, leading to an accident involving a resident. The resident, who was cognitively impaired and dependent on staff for ADL care, including bed mobility, fell from the bed and sustained a laceration to the forehead. The resident's care plan required total assistance from two staff members for turning and repositioning in bed, but a Certified Nursing Assistant (CNA) provided care alone, contrary to the care plan. During the incident, the CNA attempted to change the resident, who had a bowel movement, by positioning her on her side. However, the bolster, which was not secured to the bed, slid off, causing the resident to fall to the floor. The resident was found with a cut above the right eyebrow and a scrape to the right knee, with noticeable bleeding. The incident was reported, and the resident was sent to the hospital for evaluation, where she received sutures for the laceration.
Failure to Promptly Notify Physician of Medication Error
Penalty
Summary
The facility failed to ensure timely notification of a significant medication error to the physician or nurse practitioner for a resident. On 12/19/2024, an LPN administered the wrong medications to a resident, who was cognitively intact with a BIMS score of 15 out of 15. The error involved administering 14 medications intended for another resident. The LPN identified the error at 10:15 am but did not notify the RN Supervisor until 11:00 am, and there was no evidence that the resident's physician or nurse practitioner was notified immediately. The facility's policy on Adverse Consequences and Medication Errors required immediate action and prompt notification of the attending physician in the event of a significant medication error. The Medical Director confirmed that the LPN should have notified him or the nurse practitioner right away, considering five to ten minutes as prompt notification. The delay in notification was not in compliance with the facility's policy, and the resident was sent to the hospital for monitoring of potential side effects.
Failure to Report Abuse to Law Enforcement
Penalty
Summary
The facility failed to report an allegation of abuse to law enforcement as required by their Abuse Prohibition Policy and Procedures. The policy mandates that any reasonable suspicion of a crime be reported to the State Agency and law enforcement. An incident involving a resident, who had been admitted with diagnoses including Parkinson's disease, polyneuropathy, adjustment disorder with mixed anxiety and depression, and dementia, was documented. The incident report noted bruising on the resident's right hand, which was alleged to have been caused by a staff member. Although the physician, responsible party, and ombudsman were notified, law enforcement was not informed of the incident. The Director of Nursing confirmed during an interview that law enforcement was not notified. The Administrator explained that the decision not to report to the police was based on the belief that the incident did not result in serious bodily injury. However, after the surveyor's inquiry, the facility contacted law enforcement, and the incident was reported as Abuse of Elderly. This oversight in reporting to law enforcement constitutes a deficiency in adhering to the facility's abuse reporting policy.
Failure to Revise Care Plan for Skin Impairment
Penalty
Summary
The facility failed to revise the care plan for a resident, identified as R3, to include actual skin impairment, specifically bruising on the right hand. This deficiency was identified through observations, interviews, and record reviews. The facility's policy on comprehensive care plans requires that care plans be revised as the resident's condition changes. However, despite R3 being at risk for skin integrity impairment, the care plan did not reflect the bruising identified on 12/18/2024. A Facility Incident Report Form documented an allegation of staff-to-resident abuse on 12/17/2024, noting bruises on R3's right hand. During an interview, the MDS Coordinator confirmed that such information should be included in the care plan and stated that the treatment nurse or RN supervisor was responsible for updating the care plan with this information.
Medication Administration Error and Documentation Discrepancy
Penalty
Summary
The facility failed to ensure that services provided by a licensed nurse met professional standards of quality, resulting in a significant medication error. On 12/19/2024, an LPN administered the wrong medications to a resident, R2, after incorrectly identifying him as another resident, R6. The LPN relied on a verbal confirmation from R2, who mistakenly confirmed R6's last name, and a photograph on the Medication Administration Record (MAR) that she believed resembled R2. This error led to R2 being sent to the hospital for monitoring due to potential side effects from the incorrect medications. Further investigation revealed discrepancies in the documentation of medication administration. After the error was discovered, the LPN was relieved of her medication cart duties at 11:50 am and sent home. However, the LPN later documented administering medications to R2 at 12:44 pm, despite R2 being at the hospital by 12:15 pm. This documentation included signing off on ten medications that were scheduled for 9:00 am. Interviews with the RN Supervisor and the Director of Nursing confirmed that the LPN did not indicate administering R2's own medications and that the documentation was likely completed before leaving the facility.
Significant Medication Error Leads to Resident Hospitalization
Penalty
Summary
The facility failed to ensure that a resident was free from significant medication errors, resulting in actual harm. On December 19, 2024, an LPN administered the wrong medications to a resident, identified as R2, after failing to properly verify the resident's identity. The LPN asked R2 if his name was R2 or another resident's last name, R6, to which R2 incorrectly responded with R6's last name. The LPN then administered R6's medications to R2, which included a range of drugs such as allopurinol, amiodarone, and gabapentin, among others. Following the medication error, R2 experienced a fall in the bathroom and was subsequently sent to the hospital for evaluation. The hospital's emergency department determined that R2 had a vasovagal syncope episode while having a bowel movement, with additional differential diagnoses including medication error and polypharmacy. R2 was admitted for observation and remained hospitalized until December 24, 2024, after testing positive for influenza. Interviews with facility staff revealed that the LPN realized the error when she went to administer medications to R6 and found him in his room, wearing different clothing from the resident she had previously identified as R6. The LPN then checked on R2 and took his vital signs, which were normal, before reporting the incident to the RN Supervisor. The Medical Director later confirmed that the medication error was significant but not life-threatening for R2, and that the syncope episode was unrelated to the medication error.
Failure to Assess Resident for Self-Administration of Medication
Penalty
Summary
The facility failed to ensure that a resident was assessed for self-administration of medication before leaving medications at the bedside. The facility's policy requires that drugs brought into the facility by residents or family must be verified and meet specific conditions before use, including physician orders for self-administration. However, a review of the resident's records showed no such orders, and observations revealed containers of topical medications at the resident's bedside. Interviews with facility staff, including LPNs and an RN, confirmed that medications should not be at a resident's bedside without proper assessment and physician orders. The staff acknowledged that daily rounds are conducted, and medications at the bedside should have been noticed and addressed. The presence of unsecured medications at the bedside posed a potential risk for unauthorized access by other residents and visitors.
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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 Perry
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Church Home Rehabilitation And Healthcare | 5.1 mi | — | 0 | 0 |
| Fort Valley Crossing Of Journey Llc | 10.4 mi | — | 9 | 0 |
| Pruitthealth - The Lodge, Llc | 11.8 mi | — | 7 | 0 |
| Warner Robins Rehabilitation Center | 13.7 mi | — | 0 | 0 |
| Pruitthealth - Warner Robins Llc | 14.7 mi | — | 2 | 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 August 2026) and official state health department websites.