Inspection Reports for
Sunrise Hill Care Center

The complaint investigation found that the facility did not complete the required background check within 30 days of hire for Staff A, as acknowledged by the Manager during an interview.

The facility failed to complete the required Abuse and Criminal History check within the required 30 days of hire date for 1 of 5 staff reviewed. Staff A's background check was completed before the hire date, resulting in non-compliance with the facility's policy and state regulations.

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.

The complaint investigation was substantiated. Resident #3 reported that Staff A yelled at her using foul language, called her derogatory names, and pushed her causing a fall. The facility suspended Staff A prior to her next shift. Staff A resigned before the investigation was completed. The Director of Nursing verified the investigation and confirmed the violation of the abuse policy.

The facility failed to ensure Resident #3 was treated with dignity and respect. The investigation confirmed that Staff A used derogatory language and pushed Resident #3, causing her to fall beside her bed. Staff A admitted to calling the resident a derogatory name but denied pushing her. Staff A resigned prior to the completion of the investigation, and the facility determined that Staff A violated the abuse policy.

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.

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.

The complaint investigation focused on falls involving Resident #2 and Resident #1. Resident #2 fell in her bathroom resulting in a right hip fracture and required hospital admission and surgery. Resident #1 was found unattended on the floor multiple times despite care plan instructions and staff reeducation. The facility acknowledged failures in supervision and gait belt use.

The facility failed to provide adequate safety interventions for two residents, resulting in falls and injuries including a fractured hip for Resident #2 and multiple falls for Resident #1. The facility reported a census of 47 residents and acknowledged issues with gait belt use and supervision.

The visit was complaint-related based on substantiated incidents #116289-I and #117128-I involving resident falls and injuries.

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.

The investigation was complaint-driven, focusing on two residents who fell due to staff errors: Resident #1 fell after Staff A let go of the gait belt, resulting in a fractured hip; Resident #2 fell from a raised bed when Staff B stepped away to get an EZ Stand Lift, resulting in fractured leg and ribs. The complaint was substantiated with actual harm.

The facility failed to provide adequate supervision to prevent falls resulting in fractures for two residents. Staff negligence included letting go of a gait belt and leaving a bed raised, which directly contributed to the residents' injuries.

The complaint investigation included Facility Self-Reported Incidents #108020-I and #111585-I, both of which were substantiated.

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.

Both facility reported incidents were substantiated.

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.