The Centers for Medicare and Medicaid Services (CMS) cited SummitRidge for nursing care violation, finding that the facility did not provide consistent wound assessment and care to a patient. The patient was classified as a “total care patient,” requiring assistance with all activities of daily living. On the sixth day after admission, nurses documented a stage 2 sacral decubitus wound (bed sore) that apparently was not present on admission. There was no documentation indicating that a physician was notified,or that nursing staff evaluated the wound on days 9 and 10. A physician finally assessed the patient’s wound on day 12 of the hospital stay, who noted a 2 centimeter area of skin breakdown surrounded by 8 to 9 centimeters of redness.