Inspection Reports for Sunnybrook Senior Living

ME, 04011

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Inspection Report Summary

The most recent inspection on June 25, 2025, identified deficiencies related to medication storage, specifically that controlled medications were not stored with physical separation for each resident. Earlier inspections showed mixed results, including a prior deficiency for delayed resident reassessments noted in February 2024. The main themes of deficiencies involve medication management and documentation of resident reassessments. Complaint investigations were limited to the medication storage issue and were reviewed with the administrator; no fines or enforcement actions were listed in the available reports. The pattern suggests ongoing attention is needed in medication storage practices, while other areas have shown isolated issues without a clear trend of worsening or improvement.

Deficiencies (last 2 years)

Deficiencies (over 2 years) 1.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

74% better than Maine average
Maine average: 5.7 deficiencies/year

Deficiencies per year

4 3 2 1 0
2024
2025

Census

Latest occupancy rate 92% occupied

Based on a June 2025 inspection.

Census over time

40 44 48 52 56 Feb 2024 Jun 2025

Inspection Report

Complaint Investigation
Census: 47 Capacity: 51 Deficiencies: 1 Date: Jun 25, 2025

Visit Reason
The inspection was conducted as a complaint investigation regarding medication storage practices at the assisted living facility.

Complaint Details
Complaint Investigation 2025-AHP-41646. The finding was reviewed with the Administrator during the exit meeting on 6/25/2025.
Findings
The surveyor observed that controlled medications were not stored with physical separation for each resident's medication. Although medications were kept in a locked section of the medication cart, they lacked separate cubicles or labeling for individual residents.

Deficiencies (1)
Medications administered by the assisted living program were not stored in a cabinet equipped with separate cubicles or physical separation for each resident's medications as required.
Report Facts
Census: 47 Total Capacity: 51

Employees mentioned
NameTitleContext
Lyndsay RenadetteAdministratorNamed in relation to the exit meeting reviewing the medication storage finding

Inspection Report

Complaint Investigation
Census: 47 Capacity: 51 Deficiencies: 1 Date: Jun 25, 2025

Visit Reason
The inspection was conducted as a complaint investigation to assess compliance with medication storage regulations at Sunnybrook Assisted Living Program.

Complaint Details
Complaint investigation number 2025-AHP-41646. The finding was reviewed with the Administrator during the exit meeting on 6/25/2025.
Findings
The surveyor observed that controlled medications were stored in a locked section of the medication cart but were not separated by each resident, failing to meet the requirement for physical separation in medication storage.

Deficiencies (1)
Medications were not stored in a cabinet equipped with separate cubicles or physical separation for each resident's medications as required.
Report Facts
Census: 47 Total Capacity: 51

Employees mentioned
NameTitleContext
Lyndsay RenadetteAdministratorAdministrator present during exit meeting and named in report header

Inspection Report

Biennial Survey
Census: 48 Capacity: 51 Deficiencies: 1 Date: Feb 27, 2024

Visit Reason
The visit was a biennial survey to assess compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs for the Assisted Living Program.

Findings
The facility was found not in substantial compliance due to failure to complete reassessments at least every six months for one of three residents, specifically Resident #2 whose reassessment was delayed from 8/22/2022 to 5/8/2023.

Deficiencies (1)
Failure to complete a reassessment at least every six months for one of three residents (Resident #2).
Report Facts
Census: 48 Total Capacity: 51

Employees mentioned
NameTitleContext
Tracy Jo HoppeAdministratorNamed as Administrator who confirmed the finding at the exit meeting

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