Inspection Reports for
Sundial

The complaint was substantiated. Allegations included lack of written dietitian consultation records and failure to address residents' change in condition. The investigation confirmed these issues and found the facility posed potential health, safety, and personal rights risks to residents.

The investigation found that the facility had not maintained written records of dietitian consultations since 2018 and had no nutritionist, dietitian, or economist for consultation. Additionally, staff failed to adequately address a resident's severe weight loss and changes in condition, posing potential health and safety risks.

The visit was triggered by complaint 59-AS-20250909090827. During the investigation, it was substantiated that a resident's reappraisal was not completed as necessary, specifically not addressing severe weight loss documented over multiple dates.

The facility failed to perform a required resident reappraisal following significant weight loss, posing a potential health, safety, and personal rights risk to residents in care.

The complaint was substantiated. Allegations included lack of written dietitian consultation records and failure to address residents' change in condition. The investigation confirmed these issues and found significant weight loss in a resident was not properly addressed.

The investigation found that the facility had not maintained written records of dietitian consultations since 2018 and had no nutritionist, dietitian, or economist for consultation for years. Additionally, staff failed to properly address a resident's severe weight loss and changes in condition, with inadequate documentation and delayed interventions.

The visit was complaint-related concerning complaint 59-AS-20250909090827. It was substantiated that the resident's reappraisal was not completed as necessary.

The facility failed to perform a required resident reappraisal after significant weight loss, posing a potential health, safety, and personal rights risk to residents in care.

The complaint alleged that staff were not giving residents showers. The allegation was substantiated based on interviews, documentation review, and evidence obtained during the investigation.

The investigation found that staff were not providing residents with showers as required by individualized assessments, substantiating the complaint. Documentation and interviews confirmed missed showers and failure to meet bathing assistance agreements.

The complaint was substantiated based on interviews, observations, and record reviews. Residents reported delays in assistance, including being left on the toilet for up to half an hour, and staff acknowledged insufficient staffing during lunch breaks affecting call button response times.

The investigation substantiated the complaint that residents' care needs were compromised, including incomplete ADLs and delayed assistance, especially during a resident's contagious medical confinement. Interviews with staff and residents, along with record reviews, confirmed these deficiencies.

The complaint was substantiated based on interviews with staff and residents, observations, and record reviews. Residents reported delays in assistance and incomplete care. The preponderance of evidence standard was met.

The investigation substantiated the complaint that residents' care needs were compromised due to insufficient staffing, resulting in incomplete ADLs, delayed assistance, and residents being left unattended for extended periods. The facility failed to meet personnel requirements, posing an immediate risk to residents.

The complaint was received on 2025-04-23 alleging staff did not prevent the spread of communicable disease, failed to properly train staff, and did not ensure adequate PPE supplies. The investigation found these allegations substantiated based on interviews, observations, and record reviews.

The investigation substantiated all allegations: staff failed to prevent the spread of MRSA among residents, did not provide formal training to staff on MRSA care, and did not ensure adequate PPE supplies were available to staff. These deficiencies posed immediate risks to residents.

Complaint #59-AS-20250423134418 was investigated and found substantiated.

The allegation that the licensee/administrator failed to request an exception for residents with Methicillin-Resistant Staphylococcus Aureus (MRSA) was substantiated based on observations, interviews, and record reviews.

The complaint was substantiated based on the preponderance of evidence standard during the investigation of complaint #59-AS-20250423134418.

The allegation was substantiated based on observations, interviews, and record reviews. The licensee/administrator did not follow the guidelines for Prohibited Health Conditions by failing to request an exception for residents with MRSA, posing an immediate risk to residents in care.

The complaint investigation was substantiated for the allegation that staff did not administer medication as prescribed. The allegations regarding failure to prevent multiple falls and inadequate staffing were unsubstantiated.

The complaint that staff did not administer medication as prescribed was substantiated based on observation of a missed medication dosage. The allegations that staff did not prevent multiple falls and that the facility was inadequately staffed were unsubstantiated due to insufficient evidence. The Licensing Program Analyst educated the Administrator and Resident Care Director on medication administration requirements and requested staff training.

Complaint was substantiated. The allegation was that staff stole resident's medication. The investigation included interviews with the Administrator and a resident, review of documentation, and observation. The alleged staff member vacated the position.

The investigation substantiated the complaint based on review of submitted documentation and interviews. The alleged staff member was searched with no medication found and subsequently vacated the caregiver position. The facility was educated on ensuring staff competency to meet resident needs.

The complaint investigation was triggered by allegations including residents not being changed timely, insufficient hydration, improper blood sugar checks, medication charting errors, missing narcotics, oxygen equipment neglect, medication refill failures, and staff COVID-19 positive status. All these allegations were found unsubstantiated except for the failure to properly report incidents, leaving a resident on the commode for a long time, and oxygen equipment issues which were substantiated.

The investigation found all complaint allegations unsubstantiated except for one substantiated deficiency related to failure to properly report incidents to the Community Care Licensing Division. The substantiated deficiencies included failure to report incidents, leaving a resident on the commode for a long period, and failure to properly charge and maintain oxygen equipment.

The facility was generally clean and well-maintained with appropriate safety measures and supplies. However, a deficiency was found where 2 out of 5 residents did not have their prescribed medications secured or accounted for, posing a potential health and safety risk.