| Summit Square | |
| 501 Oak Avenue, Waynesboro, Virginia 22980 | |
| (540) 941-3100 | |
| Name | Summit Square |
|---|---|
| Location | 501 Oak Avenue, Waynesboro, Virginia |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 18 |
| Occupancy Rate | 81.11% |
| Medicare ID (CCN) | 495405 |
| Legal Business Name | Sunnyside Presbyterian Home |
| Ownership Type | Non Profit - Corporation |
| NPI Number | 1518956911 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Sunnyside Presbyterian Home |
| Doing Business As | Summit Square Retirement Community |
| Address | 501 Oak Ave, Waynesboro, VA 22980 |
| Phone Number | 540-941-3100 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 7.44 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1.63 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.64 | 0.86 |
| Nurse aide hours per resident per day | 4.17 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 6.02 | 3.42 |
| RN hours per resident per day on the weekend | 0.63 | 0.48 |
| Physical therapist hours per resident per day | 0.46 | 0.07 |
| Total nursing staff turnover | 47.1% | 45.8% |
| Registered nurse turnover | 75% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $50,021 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Dec 3, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Jan 23, 2026 |
| Dec 3, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jan 23, 2026 |
| Dec 3, 2025 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jan 23, 2026 |
| Dec 3, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jan 23, 2026 |
| Dec 3, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Jan 23, 2026 |
| Feb 7, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Immediate jeopardy, isolated | Corrected by May 2, 2025 |
| Feb 7, 2025 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Complaint inspection | Actual harm, isolated | Corrected by May 2, 2025 |
| Feb 7, 2025 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865, Administration, Complaint inspection | Actual harm, isolated | Corrected by May 2, 2025 |
| Feb 7, 2025 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. F0944, Administration, Complaint inspection | Potential for harm, widespread | Corrected by Mar 20, 2025 |
| Feb 7, 2025 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. F0577, Resident Rights, Complaint inspection | Potential for harm, pattern | Corrected by May 2, 2025 |
| Feb 7, 2025 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835, Administration, Complaint inspection | Potential for harm, pattern | Corrected by May 2, 2025 |
| Feb 7, 2025 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. F0557, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by May 2, 2025 |
| Feb 7, 2025 | Post nurse staffing information every day. F0732, Nursing and Physician Services, Complaint inspection | Potential for harm, isolated | Corrected by Mar 20, 2025 |
| Feb 7, 2025 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. F0941, Administration, Complaint inspection | Potential for harm, isolated | Corrected by May 2, 2025 |
| Feb 7, 2025 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. F0949, Administration, Complaint inspection | Potential for harm, isolated | Corrected by May 2, 2025 |
| Nov 15, 2023 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, pattern | Corrected by Dec 13, 2023 |
| Nov 15, 2023 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 13, 2023 |
| Nov 15, 2023 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 13, 2023 |
| Nov 15, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Dec 13, 2023 |
| Nov 15, 2023 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Dec 13, 2023 |
| Mar 10, 2022 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Apr 1, 2022 |
| Mar 10, 2022 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Apr 1, 2022 |
| Mar 10, 2022 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Apr 1, 2022 |
| Mar 10, 2022 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Apr 1, 2022 |
| Mar 10, 2022 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 1, 2022 |
| Mar 10, 2022 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 1, 2022 |
| Mar 10, 2022 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Apr 1, 2022 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.81 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 3.13 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 2.44 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.38 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.1 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.7 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | Not Available | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 30.56 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Not Available | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 46.34 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 6.72 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.37 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 13.33 | 15.38 |
River Edge Rehabilitation and Nursing Location: 1221 Rosser Ave, Waynesboro, Virginia 22980 Phone: (540) 949-7191 |