Inspection Reports for Sunrise Country Manor

The complaint investigation was triggered by allegations including failure to complete written investigations timely, failure to follow plan of care, failure to ensure grooming, failure to address grievances, failure to ensure food meets resident needs, failure to address weight loss, failure to provide appropriate activities, and failure to ensure residents are treated with respect and dignity. The facility was found non-compliant only for failure to submit written investigations timely and failure to report allegations within 24 hours.

The facility failed to submit written investigations within five working days following allegations of abuse and failed to report allegations within 24 hours, which was a violation of federal and state regulations. Other areas such as plan of care, grooming, grievances, food, weight loss, activities, and respect were found in compliance. Additional deficiencies were found related to staff abuse training, food safety and sanitation, life safety code violations including fire safety, sprinkler system maintenance, electrical system issues, and corridor door smoke resistance.

The complaint investigation addressed 17 allegations including respect and dignity, medication misappropriation, restraint use, investigation submission timeliness, RN coverage, staffing sufficiency, hand washing and glove usage, infection control, food handling, resident privacy, activities program, bathing provision, staff training, care plan adherence, grievance process, Quality Assurance, and PASRR guidelines. Most allegations were unsubstantiated except for staff training deficiencies.

The facility was found compliant with most allegations including respect and dignity, restraint use, RN coverage, staffing, infection control, food handling, privacy, activities, grievance process, Quality Assurance, and PASRR guidelines. However, deficiencies were found related to medication accounting procedures and staff training, specifically lack of job-specific orientation for newly hired or reassigned staff.

The complaint investigation found the facility failed to submit investigations within 5 working days multiple times, but was compliant with fall interventions to prevent injuries. The failure to submit reports was substantiated with no tag.

The facility failed to submit written reports within 5 working days to the state agency as required, which was substantiated with no tag. The facility was found to be in compliance regarding the use of fall interventions to prevent injuries.

The visit was complaint-related and included investigation of allegations that the facility failed to protect residents from abuse, privacy violations, grievance resolution, care according to orders, addressing changes in condition, and following care plans. All allegations were found unsubstantiated with no violations identified.

The facility was found to have no violations related to abuse, privacy, grievance resolution, care according to practitioner's orders, addressing changes in condition, or following care plans for resident behaviors. However, deficiencies were cited related to dignity and respect during dining assistance, treatment of pressure ulcers, food handling and hygiene, and multiple life safety code violations including sprinkler system maintenance, fire watch policy, fire drills, electrical safety, and evacuation planning.

The complaint investigation was triggered by allegations that the facility failed to protect residents from injury, failed to implement interventions to prevent injuries, failed to ensure prompt response to calls for assistance, and failed to adequately control pain. The investigation included resident record reviews, observations, and interviews with residents, family, and staff.

The facility was found compliant with protective skin care and pain management requirements, and timely call light response. However, the facility was cited for failure to implement fall prevention interventions for residents at risk and failure to notify the State Agency timely of an administrator vacancy. Additional deficiencies included failure to resolve resident grievances, failure to report a resident fall with potential fracture timely to APS, and failure to implement adequate fall prevention interventions for two residents.

The complaint investigation included allegations that the facility failed to protect residents from injuries, respond promptly to call systems, ensure sufficient staffing, provide access to phone calls, maintain essential equipment, meet nutritional needs, complete Minimum Data Sets timely, prevent abuse, include family in care planning, provide medications as ordered, prevent overmedication, ensure prescribed edema wear, submit investigations timely, and ensure safe placement of equipment and linens. Most allegations were found unsubstantiated except for medication administration errors and incomplete care plans.

The facility was found to be in compliance with most allegations including protection from injury, call system response, staffing sufficiency, access to phone calls, equipment maintenance, nutritional needs, abuse prevention, family involvement in care planning, and timely investigation submissions. However, the facility failed to provide medications as ordered, failed to develop comprehensive care plans addressing psychotropic medications and target behaviors for one resident, and had a medication error rate of 18.5% affecting three residents. Additionally, the facility failed to document decisions to hire two employees with adverse criminal backgrounds, and failed to ensure glucose test strips were dated upon opening.

The complaint investigation included allegations of failure to ensure residents are free from abuse, failure to avoid restraints, failure to notify responsible party of resident discharge, failure to provide a safe environment for residents at risk of elopement, and failure to protect residents from other residents with behaviors. Some allegations were substantiated with findings of noncompliance.

The facility was found not in compliance with several federal and state regulations including failure to prevent resident abuse, failure to provide a safe environment for residents at risk of elopement, failure to provide adequate supervision to prevent accidents, deficiencies in housekeeping and maintenance, incomplete care plans, medication errors, infection control issues, and life safety code violations.

The complaint investigation was triggered by allegations that the facility failed to change fall interventions after residents were identified at risk for falls, failed to evaluate causal factors for falls, and failed to consistently implement fall interventions. The investigation included review of resident records, observations, and interviews with residents, family members, and staff.

The facility failed to notify a resident's physician of a fall with injury in a timely manner, failed to revise care plans for residents with repeated falls, and failed to conduct assessments and implement interventions to prevent injuries after repeated falls for two residents. However, the facility was found to be in compliance with consistently implementing fall interventions for preventing future falls.

The complaint investigation included allegations of physical abuse, medication administration errors, inadequate bladder care, failure to protect residents from adverse behaviors, and failure to submit investigations timely. The investigation found no violations related to these allegations.

The investigation found no violations related to physical abuse, medication administration, bladder elimination care, protection from adverse behaviors, or timely submission of investigations. However, deficiencies were identified related to failure to issue timely Medicare denial notices, incomplete care plans for medication use, failure to revise care plans for residents, and inadequate care related to hydration and skin care. Life safety code violations were also noted including unsealed smoke barriers, hazardous storage areas without proper doors, exit doors without proper signage, use of flammable decorations, incomplete generator maintenance documentation, and improper use of power strips.

The complaint alleged failure to notify family of change in condition, failure to provide care according to practitioner's orders, failure to protect residents from abuse, failure to investigate and report allegations of abuse, and failure to have appropriate reason for involuntary discharge. The investigation found no violations except for failure to provide Bed-Hold Policy notice related to involuntary discharge.

The facility was found to have no violations related to notification of change in condition, provision of care according to orders, protection from abuse, investigation and reporting of abuse. However, the facility failed to provide a Bed-Hold Policy notice to one resident at the time of emergency transfer to hospital, resulting in an involuntary discharge without notice.

The facility was found deficient in multiple areas including improper use of indwelling Foley catheter without medical justification, medication administration errors exceeding 5%, fire safety code violations such as doors held open or with excessive gaps, lack of proper fire drills, inadequate maintenance of sprinkler systems, missing fire extinguishers, blocked egress paths, oxygen storage and concentrator safety issues, and use of extension cords as permanent wiring.

The facility was found deficient in housekeeping and maintenance services, failure to implement care plan interventions to prevent falls for one resident, failure to provide adequate pain management for one resident, and multiple life safety code violations including inadequate fire rated doors, doors failing to close and latch properly, unsealed hazardous areas, and improper storage of soiled linen carts.

The facility failed to complete a thorough investigation of causal factors for a fall from a wheelchair involving one resident and did not identify appropriate interventions to ensure safe transportation via wheelchair. The care plan did not reflect current needs or safety interventions post-fall.

The facility was found deficient in multiple areas including failure to promptly resolve resident grievances, incomplete comprehensive care plans addressing medication use and catheter care, inadequate infection control practices including improper cleaning of equipment and hand hygiene, environmental safety hazards such as unsecured wheelchair transportation and fire safety code violations including corridor door issues and sprinkler obstructions.