Summit Square
501 Oak Avenue, Waynesboro, VA 22980 · Waynesboro City County · (540) 941-3100
18 certified beds, about 15 residents a day · Non profit - Corporation · Medicare and Medicaid since 2010
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495405 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 3, 2025, inspectors cited 5 health deficiencies (the Virginia average is 14.3, the national average 9.2).
Of 27 health citations since March 2022, 3 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $50,021 in the last three years; the largest was $50,021, and the latest is dated February 7, 2025.
Nurses and nurse aides worked 7.44 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 1.63 of those hours.
47.1% of nursing staff left within the year CMS measured (Virginia average 48.1%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
703/22
511/23
1002/25
512/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 27 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
15D
8E
1F
Potential for minimal harm
0A
0B
0C
December 3, 2025Standard inspection · 5 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview, and facility documentation review, the facility staff failed to store, prepare, and serve food in a sanitary manner in the main kitchen and on the on-unit kitchen on the one nursing unit having the potential to affect many residents on the one healthcare unit.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on resident interview, staff interview and clinical record review, the facility staff failed to develop a comprehensive care plan for one of fourteen residents in the survey sample (Resident #2).
- D 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.
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, the facility failed to label a medication according to the physician's order for one of five residents in the medication pass observation (Resident #19).
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on staff interview, clinical record review, and facility documentation review, the facility staff failed to maintain a complete and accurate clinical record for one resident (Resident #1-R1) in a survey sample of fourteen residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview and facility document review, the facility staff failed to perform hand hygiene between residents during a medication pass observation on one of one unit.
February 7, 2025Complaint inspection · 10 citations
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, resident and staff interviews, clinical record review, and facility documentation review, the facility staff failed to provide an environment free of avoidable accident hazards and failed to monitor coffee temperatures to prevent burns, resulting in harm for two residents (Resident #4- R4 and Resident #2-R2) in a survey sample of five residents. These findings led to the identification of Immediate Jeopardy (IJ) and the identification of Substandard Quality of Care.
- G Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, resident interview, staff interviews, clinical record review, and facility documentation review, the facility staff failed to provide beverages at a safe temperature to prevent injury, which resulted in harm for two residents (Resident #4 - R4 and Resident #2 - R2) in a survey sample of five residents.
- G Have a plan that describes the process for conducting QAPI and QAA activities.
Inspectors wroteBased on staff interview, clinical record reviews, and facility documentation review, the facility staff failed to implement and maintain an effective quality assurance and performance improvement (QAPI) program, and failed to provide evidence necessary to demonstrate compliance with these requirements, which resulted in harm for two residents (Resident #2 and Resident #4) in a survey sample of five residents.
- F Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Inspectors wroteBased on staff interview and employee record reviews, the facility staff failed to provide QAPI (Quality Assurance and Performance Improvement) training to 9 of 9 sampled employees reviewed for educational requirements.
- E Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Inspectors wroteBased on observation and staff interview, the facility staff failed to post the results of the most recent survey results in a place readily accessible to residents and families having the potential to affect multiple residents on one of one unit.
- E Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Inspectors wroteBased on observation, staff interview, clinical record review and facility documentation reviews, the facility staff failed to effectively administer in the facility in a manner to prevent accident hazards, which resulted in the identification of immediate jeopardy and substandard quality of care during the survey, that had been identified during a prior survey and not corrected, having the potential to result in more than minimal harm for many residents residing on one of one units.
- D Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Inspectors wroteBased on observations, resident interviews, and staff interviews, the facility staff failed to serve meals in the dining room in a manner to promote dignity affecting three residents (Resident #106, Resident #107 and Resident #108) out of a survey sample of eight residents.
- D Post nurse staffing information every day.
Inspectors wroteBased on observation, staff interviews and facility documentation, the facility staff failed to post daily staffing information on 1 of 1 unit.
- D Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Inspectors wroteBased on staff interviews and facility documentation, the facility staff failed to provide effective communications training for one employee (the social worker), in a survey sample of nine employee records reviewed.
- D Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Inspectors wroteBased on staff interview, staff record review, and facility documentation review, the facility staff failed to provide behavioral health training to two of nine employees.
November 15, 2023Standard inspection · 5 citations
- E Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on staff interview, employee record review, and facility document review, the facility failed to follow and implement their abuse employee screening policy. Criminal background checks through the Virginia State Police (VSP) and/or sworn statements for five of 20 employees reviewed were not obtained.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure an accurate minimum data set (MDS) assessment for one of eleven residents in the survey sample (Resident #17).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to administer oxygen as ordered by the physician for one of eleven residents in the survey sample (Resident #11).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, facility document review and staff interview, the facility staff failed to follow infection control practices for hand hygiene during a medication pass on one of one nursing units.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to offer a pneumococcal vaccine and provide education about the vaccine to one of five residents reviewed for immunizations.
March 10, 2022Standard inspection · 7 citations
- E Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility document review the facility staff failed to follow professional standards of care for 2 of eleven residents in the survey sample, Resident 14 and #10. Resident #14 was not accurately monitored for bowel elimination. During a medication pass observation, a nurse removed a lidocaine patch from the original packaging and left it in Resident #10's room after the resident requested to have the patch at a later time. Approximately 1.5 hours later, the patch was found in the unit's shower room and had not been applied to the resident.
- E Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, the facility staff failed to assess and implement interventions for prevention/care of pressure ulcers for one of eleven residents in the survey sample, Resident #8. For over two months, physician ordered treatments of Resident #8's pressure ulcers were not implemented and facility staff failed to thoroughly assess and provide routine monitoring of the wounds. Resident #8 acquired new pressure ulcers after weeks without routine skin assessments/body audits.
- E 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.
Inspectors wroteBased on resident interview, staff interview and clinical record review, the facility staff failed to ensure four of eleven residents were free from unnecessary medications, Resident #3, #16, #6 nd #15. Resident #3 had physician orders for an antianxiety medication beyond the 14-day limit and without a specified duration. Residents #16 and #6 had no attempted gradual dose reduction of psychotropic medications and no rationale to decline reduced doses. Facility staff failed to respond to a pharmacy recommendation to discontinue a prn (as needed) order of lorazepam in a timely manner for Resident #15.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview and facility policy review, the facility staff failed to store food in a sanitary manner on one of one nursing unit and in the main kitchen. Milk and homemade food items were stored in the unit's nourishment refrigerator with no date or resident name.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on staff interview and facility document review, the facility staff failed to provide advance notice of Medicare non-coverage for one of three residents reviewed regarding beneficiary notification protection. Resident #5 was not provided notice of Medicare non-coverage.
- D 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.
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, the facility staff failed to label medications stored in one of one medication cart. Three bottles of eye drops stored in the unit's medication cart had no pharmacy label and no label indicating date opened.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on clinical record review and staff interview, the facility staff failed to offer the influenza vaccine, and failed to document education and/or refusal for the vaccine, for one of five resident records reviewed, Resident #15.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 7, 2025 | Fine | $50,021 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 7.44 | 3.76 | 3.86 |
| Registered nurses | 1.63 | 0.69 | 0.69 |
| All nursing staff on weekends | 6.02 | 3.29 | 3.42 |
| Nurse aides | 4.17 | ||
| Licensed practical nurses | 1.64 | ||
| Nursing staff turnover (share who left in a year) | 47.1% | 48.1% | 45.8% |
| Registered nurse turnover | 75.0% | 48.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.71 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 8.02 on weekdays and 6.02 on weekends, 25% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 14.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 6.98 in April to June 2025 to 7.44 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 7.44 | 1.63 | 8.02 | 6.02 | 14.3% | 1 of 90 | 15 |
| Oct to Dec 2025 | 7.42 | 1.67 | 7.89 | 6.24 | 7.2% | 1 of 92 | 14 |
| Jul to Sep 2025 | 8.61 | 2.35 | 9.20 | 7.09 | 4.6% | 0 of 92 | 14 |
| Apr to Jun 2025 | 6.98 | 1.29 | 7.30 | 6.15 | 4.4% | 0 of 91 | 14 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Virginia, Jan to Mar 2026 | 3.58 | 0.56 | 3.76 | 3.12 | 5.7% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Virginia
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Virginia, all employers | |||
| CNAs (nursing assistants) | $20.77 | $17.80 to $22.56 | 40,580 |
| LPNs and LVNs | $31.21 | $28.66 to $35.84 | 15,550 |
| Registered nurses | $45.00 | $38.51 to $49.53 | 77,490 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Virginia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 25.8 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.4 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.4 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.3 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.7 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.3 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.3 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.1 | 11.5 | 12.0 |
Owners and operators
Legal business name: SUNNYSIDE PRESBYTERIAN HOME.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Lyons, Joshua | W-2 managing employee | Individual | 03/01/2022 | |
| Rowe, James | Corporate director | Individual | 04/30/2010 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 5 problems in this area, most recently on February 7, 2025: "Have a plan that describes the process for conducting QAPI and QAA activities."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on December 3, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on December 3, 2025: "Provide and implement an infection prevention and control program."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on December 3, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Other nursing homes nearby
- River Edge Rehabilitation and Nursing Waynesboro, 1.3 mi · 1 of 5 stars · 41 citations
- Augusta Nursing and Rehabilitation Fishersville, 3.9 mi · 1 of 5 stars · 81 citations
- Shenandoah Nursing Home Fishersville, 4.5 mi · 5 of 5 stars · 15 citations
- Augusta Medical Ctr Skilled Ca Fishersville, 5.2 mi · 5 of 5 stars · 4 citations
- Staunton Post Acute & Rehabilitation Staunton, 10.7 mi · 2 of 5 stars · 47 citations
- Kings Daughters Community Health & Rehab Staunton, 11.2 mi · 1 of 5 stars · 83 citations
- Cedars Healthcare Center Charlottesville, 21.7 mi · 2 of 5 stars · 54 citations
- Monroe Health & Rehab Center Charlottesville, 22 mi · 4 of 5 stars · 32 citations
Virginia contacts for a concern about a nursing home
These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Virginia Department of Health, Office of Licensure and Certification, Division of Long-Term Care Services, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Virginia Office of the State Long-Term Care Ombudsman, 800-552-5019. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: VDH Nursing Home and ICF/IID Inspections and Surveys, where Virginia publishes its own records on licensed homes.
Common questions
- What is Summit Square's Medicare star rating?
- CMS rates Summit Square 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Summit Square get at its last inspection?
- 5 health deficiencies at the standard inspection on December 3, 2025. The Virginia average is 14.3.
- Has Summit Square been fined?
- Yes. CMS lists 1 fine totaling $50,021 in the last three years.
- Does Summit Square accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Summit Square?
- CMS lists 2 owners and managers. Legal business name: SUNNYSIDE PRESBYTERIAN HOME.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.