Inspection Reports for Sunrise Hill Care Center
909 Sixth Street, IA, 506751399
Back to Facility ProfileInspection Report Summary
The most recent inspection on December 4, 2025, identified a deficiency related to the facility’s failure to complete a required Abuse and Criminal History check within 30 days of hire for one staff member. Earlier inspections showed a mixed pattern, with prior deficiencies mainly involving resident safety and supervision, including falls resulting in injuries, and a substantiated complaint of staff not treating a resident with dignity and respect. Complaint investigations from 2023 and 2024 substantiated issues with supervision and accident prevention, while infection control practices were found compliant in recent years. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s record shows some recurring themes around supervision and staff compliance, but recent inspections suggest some improvement in addressing these concerns.
Deficiencies (last 6 years)
Deficiencies (over 6 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
77% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
53 residents
Based on a December 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Plan of Correction
Deficiencies: 0
Dec 30, 2025
Visit Reason
The document is a plan of correction submitted following a survey ending December 4, 2025, to address deficiencies and achieve certification compliance effective December 5, 2025.
Findings
The facility was found to be in substantial compliance based on the credible allegation and plan of correction submitted. No specific deficiencies are detailed in this document.
Report Facts
Survey end date: Dec 4, 2025
Inspection Report
Annual Inspection
Census: 53
Deficiencies: 1
Dec 4, 2025
Visit Reason
The inspection was conducted as the facility's annual recertification survey from December 1 to December 4, 2025.
Findings
The facility failed to implement its abuse policy by not completing the required Abuse and Criminal History check within 30 days of hire for 1 of 5 staff reviewed. The facility reported a census of 53 residents at the time of the survey.
Deficiencies (1)
| Description |
|---|
| Failure to complete the required Abuse and Criminal History check within 30 days of hire date for 1 of 5 staff reviewed (Staff A, Dietary). |
Report Facts
Residents census: 53
Staff reviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Dietary Staff | Named in deficiency for failure to complete background check within required timeframe |
| Staff B | Manager | Acknowledged the delayed employment start after background check completion |
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 21, 2025
Visit Reason
A complaint investigation was conducted for complaint #2576054-C and facility reported incident #2576251-I from October 21, 2025 to October 28, 2025.
Findings
The facility was found to be in substantial compliance with no deficiencies cited.
Complaint Details
Investigation related to complaint #2576054-C and facility incident #2576251-I; facility found in substantial compliance.
Inspection Report
Annual Inspection
Census: 48
Deficiencies: 0
Oct 31, 2024
Visit Reason
The inspection was conducted as the annual recertification survey for Sunrise Hill Care Center from October 28, 2024 to October 31, 2024.
Findings
The facility was found to be in compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities following the annual recertification survey.
Inspection Report
Plan of Correction
Deficiencies: 0
Aug 8, 2024
Visit Reason
The visit was conducted based on the department's acceptance of a credible allegation of compliance and plan of correction for Sunrise Hill Nursing Home.
Findings
Sunrise Hill Nursing Home is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities as of August 8, 2024, based on the department's acceptance of the credible allegation of compliance and plan of correction.
Inspection Report
Complaint Investigation
Census: 45
Deficiencies: 1
Jul 17, 2024
Visit Reason
The inspection was conducted as an investigation of a facility reported incident #121234-I, which was substantiated, involving alleged abuse and violation of resident rights.
Findings
The facility failed to ensure that one of three residents reviewed was treated with dignity and respect, as a Certified Nursing Assistant yelled at a resident in a disrespectful and undignified manner using foul language. The facility substantiated the incident and took corrective actions including suspension and resignation of the staff involved.
Complaint Details
Investigation of complaint #121234-I was substantiated. The complaint involved abuse and violation of resident rights by a CNA who yelled and used derogatory names toward Resident #3.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure that 1 of 3 residents reviewed were treated with dignity and respect; CNA yelled at Resident #3 in a disrespectful and undignified manner using foul language. | SS=D |
Report Facts
Census: 45
Residents reviewed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Daniel M. Larmore | MS/NHA-L | Signed as Laboratory Director or Provider/Supplier Representative and on Plan of Correction. |
| Staff A | Certified Nursing Assistant (CNA) | Named in abuse finding for yelling and using derogatory language toward Resident #3. |
Inspection Report
Re-Inspection
Deficiencies: 0
May 28, 2024
Visit Reason
The visit was an onsite revisit of a previous survey ending April 4, 2024, to verify compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities.
Findings
The Sunrise Hill Nursing Home was found to be in substantial compliance effective April 25, 2024, following the onsite revisit conducted on May 28, 2024.
Inspection Report
Complaint Investigation
Census: 47
Deficiencies: 1
Apr 4, 2024
Visit Reason
The inspection was conducted following an investigation of facility reported incidents #116289-I and #117128-I, which were substantiated.
Findings
The facility failed to provide adequate safety interventions and supervision for residents, resulting in falls and injuries including fractures. Deficiencies were found related to accident hazards, supervision, and use of assistive devices such as gait belts.
Complaint Details
The visit was complaint-related based on substantiated incidents #116289-I and #117128-I involving resident falls and injuries.
Severity Breakdown
SS=G: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to provide safety interventions required for 2 out of 4 residents reviewed, resulting in falls and fractures. | SS=G |
Report Facts
Facility census: 47
Resident MDS assessment dates: Resident #2 MDS dated 8/10/23; Resident #1 MDS dated 12/14/23
Incident dates: Resident #2 fall and injury on 9/14/23; Resident #1 fall incidents on 2/18/24 and 3/16/24
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Daniel M. Larmore | Administrator | Signed the statement of deficiencies and plan of correction |
| Director of Nursing (DON) | Discussed gait belt use and staff education related to Resident #2 fall | |
| Staff A, Certified Nurse Assistant (CNA) | Involved in Resident #2 fall incident | |
| Staff B, Licensed Practical Nurse (LPN) | Documented Resident #2 fall and assisted Resident #1 |
Inspection Report
Annual Inspection
Deficiencies: 0
Sep 7, 2023
Visit Reason
An Annual Recertification Survey was conducted from September 5, 2023 to September 7, 2023.
Findings
The facility was found to be in substantial compliance.
Inspection Report
Follow-Up
Deficiencies: 0
May 10, 2023
Visit Reason
An on-site revisit of the COVID-19 Focused Infection Control Survey/Complaint Survey ending April 10, 2023 was conducted to verify correction of previous deficiencies.
Findings
The deficiency was corrected and the facility is in substantial compliance effective April 27, 2023. The Denial of Payment for New Admits (DPNA) was not effectuated.
Inspection Report
Complaint Investigation
Census: 53
Deficiencies: 1
Apr 4, 2023
Visit Reason
The inspection was conducted as a COVID-19 focused infection control survey and an investigation of Complaint #110461-C and Facility Self-Reported Incidents #108020-I and #111585-I from April 4, 2023 to April 10, 2023.
Findings
The facility was found to be in compliance with CMS and CDC recommended COVID-19 practices. However, deficiencies were identified related to inadequate supervision and assistance to prevent resident falls, resulting in injuries including fractures for two residents.
Complaint Details
The complaint investigation included Facility Self-Reported Incidents #108020-I and #111585-I, both of which were substantiated.
Severity Breakdown
SS=G: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to provide adequate supervision and assistance devices to prevent accidents, resulting in Resident #1 tripping over a walker and sustaining a fractured hip, and Resident #2 falling from a bed not in its lowest position, resulting in a fractured leg and ribs. | SS=G |
Report Facts
Facility census: 53
MDS score for Resident #1: 15
MDS score for Resident #2: 11
Dates of incident and documentation: Multiple dates from 9/15/22 to 4/6/23 related to resident incidents and assessments
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Certified Nurse Aide (CNA) | Let go of Resident #1's gait belt leading to fall; involved in Resident #1 incident |
| Staff B | Certified Nurse Aide (CNA) | Did not lower Resident #2's bed leading to fall; involved in Resident #2 incident |
| Staff C | Licensed Practical Nurse (LPN) | Assessed Resident #1 after fall and sent to ER |
| Staff D | Registered Nurse (RN) | Documented assessment and assisted with Resident #2 after fall |
| Director of Nursing | Director of Nursing (DON) | Concurred with standards of care and bed positioning; involved in corrective action monitoring |
Inspection Report
Annual Inspection
Deficiencies: 0
Jun 22, 2022
Visit Reason
An annual Recertification Survey was conducted from June 20, 2022 to June 22, 2022.
Findings
The facility was found to be in substantial compliance.
Inspection Report
Follow-Up
Deficiencies: 0
Nov 23, 2021
Visit Reason
An onsite revisit was conducted regarding the investigation of the Focused COVID-19 Infection Control Survey and investigation of facility reported incidents 96193-I and 100286-I conducted on October 11 - 21, 2021.
Findings
All deficiencies have been corrected and the facility was found in substantial compliance with all regulations surveyed effective November 18, 2021.
Inspection Report
Abbreviated Survey
Census: 48
Deficiencies: 2
Oct 21, 2021
Visit Reason
A Focused COVID-19 Infection Control Survey and an investigation of facility reported incidents 96193-I and 100286-I were conducted due to concerns about infection control and reported incidents.
Findings
The facility was not in compliance with CMS and CDC recommended practices for COVID-19 infection control. The facility failed to provide adequate supervision and assistance devices to prevent accidents for 3 of 4 residents reviewed, resulting in a resident fall with a hip fracture. Infection control deficiencies were also identified related to hand hygiene and use of personal protective equipment.
Complaint Details
Both facility reported incidents were substantiated.
Severity Breakdown
SS=G: 1
SS=E: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to provide each resident adequate supervision and assistance devices to prevent accidents, evidenced by a resident fall resulting in a right hip fracture. | SS=G |
| Facility failed to establish and maintain an infection prevention and control program that provides a safe, sanitary, and comfortable environment to prevent communicable diseases and infections. | SS=E |
Report Facts
Total residents: 48
Residents reviewed for supervision deficiency: 4
Residents with supervision deficiency: 3
Deficiency counts: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff J | Certified Nursing Assistant (CNA) | Named in the finding related to resident fall and supervision failure |
| Assistant Director of Nursing (ADON) | Named in interviews and corrective action plan |
Inspection Report
Annual Inspection
Deficiencies: 0
Jan 20, 2021
Visit Reason
The inspection was conducted as a recertification health survey for the facility.
Findings
The facility was found to be in substantial compliance at the time of the recertification health survey conducted from 2021-01-11 to 2021-01-20.
Inspection Report
Complaint Investigation
Census: 46
Deficiencies: 0
Oct 14, 2020
Visit Reason
A Focused COVID-19 Infection Control Survey and an investigation of Complaint #93803 were conducted from 10/12 to 10/14/2020.
Findings
The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19. Complaint #93803 was not substantiated.
Complaint Details
Complaint #93803 was investigated and found to be not substantiated.
Inspection Report
Complaint Investigation
Census: 55
Deficiencies: 0
Sep 24, 2020
Visit Reason
A Focused COVID-19 Infection Control Survey and an investigation of Complaint #92897 and a Facility Self-Reported Incident #90594 were conducted from 9/21-9/24/2020.
Findings
The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19. Both the Complaint and the Incident were not substantiated.
Complaint Details
Complaint #92897 and Facility Self-Reported Incident #90594 were investigated and found not substantiated.
Report Facts
Total residents: 55
Inspection Report
Routine
Census: 63
Deficiencies: 0
Jun 9, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted to assess the facility's compliance with CMS and CDC recommended practices to prepare for COVID-19.
Findings
The facility was found to be in compliance with CMS and CDC recommended practices for COVID-19 preparation.
Report Facts
Total residents: 63
Loading inspection reports...
