Inspection Reports for
Sunrise Manor Nursing Home
717 NORTH LINCOLN BLVD, HODGENVILLE, KY, 42748
Back to Facility ProfileInspection Report — Nov 21, 2025
Abbreviated Survey
Deficiencies: 0
Date: Nov 21, 2025
Visit Reason
An abbreviated survey was conducted from 10/21/2025 to 11/21/2025 by Jane Fair, RN, NCI, and a representative of the Office of Inspector General.
Findings
There were no deficiencies found during the abbreviated survey.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jane Fair | RN, NCI | Representative conducting the abbreviated survey |
Inspection Report — Jan 24, 2025
Complaint Investigation
Census: 118
Deficiencies: 0
Date: Jan 24, 2025
Visit Reason
A complaint survey was conducted to investigate allegations at the facility.
Complaint Details
The complaint survey was concluded on 01/24/2025 with no deficiencies issued related to KY00039513, KY00040244, KY00040315, and KY00043151.
Findings
The facility was found to be in substantial compliance with 42 CFR 483 subpart B, and no deficiencies were issued related to the specified complaint allegations.
Report Facts
Sample Size: 15
Inspection Report — Apr 14, 2022
Annual Inspection
Census: 97
Deficiencies: 7
Date: Apr 14, 2022
Visit Reason
The visit was a recertification survey to assess compliance with federal regulations related to resident care, infection control, quality assurance, and facility administration.
Findings
The facility was found to have multiple deficiencies including failure to implement effective infection control practices, failure to develop and implement comprehensive care plans, inadequate quality assurance processes, and failure to ensure proper administration and oversight. Immediate Jeopardy was identified related to abuse, care planning, quality of care, pharmacy services, administration, and quality assurance. The facility submitted an acceptable Immediate Jeopardy Removal Plan and the State Survey Agency validated removal prior to exit.
Deficiencies (7)
F0655: The facility failed to develop and implement a Baseline Care Plan for Resident #299 to meet immediate needs and ensure infection control related to COVID-19 droplet precautions.
F0656: The facility failed to develop and implement a comprehensive person-centered care plan with measurable objectives for Residents #12 and #49, resulting in falls and inadequate infection control.
F0812: The facility failed to maintain safe food handling practices including proper cleaning, sanitizing, and staff hygiene in the kitchen.
F0835: The facility failed to administer the facility in a manner that enabled effective use of resources to maintain the highest practicable well-being of residents, including failure to address drug diversion and falls.
F0837: The facility's Governing Body failed to ensure policies were implemented and compliance maintained in areas including abuse prevention, care planning, quality of care, pharmacy services, food and nutrition, administration, and infection control.
F0867: The facility failed to establish an effective Quality Assurance and Performance Improvement (QAPI) program to identify and correct quality of care deficiencies including abuse, care planning, falls, infection control, and pharmacy services.
F0880: The facility failed to implement an effective infection prevention and control program, including failure to ensure staff used appropriate PPE, clean and disinfect equipment such as mechanical lifts, and follow transmission-based precautions for residents in isolation.
Report Facts
Resident census: 97
Falls: 24
Medication carts audited: 6
Medication pick-up residents: 4
Care Plan audits: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| SRNA #1 | State Registered Nursing Assistant | Named in infection control PPE noncompliance observation |
| SRNA #2 | State Registered Nursing Assistant | Named in infection control PPE noncompliance observation |
| HA #3 | Hospitality Aide | Named in infection control PPE noncompliance observation |
| RN #1 | Registered Nurse | Observed and interviewed regarding mechanical lift cleaning and infection control |
| LPN #4 | Licensed Practical Nurse | Interviewed regarding mechanical lift cleaning and infection control |
| RN #13 | Registered Nurse | Observed and cleaned mechanical lifts during survey |
| SRNA #7 | State Registered Nursing Assistant | Interviewed regarding mechanical lift cleaning and infection control |
| LPN/Staff Development Coordinator #23 | Licensed Practical Nurse/Staff Development Coordinator | Provided infection control education and interviewed about lift cleaning |
| RN #3 | Unit Manager Registered Nurse | Interviewed regarding infection control and isolation practices |
| DON | Director of Nursing | Interviewed regarding infection control, quality assurance, and care planning |
| Administrator | Facility Administrator | Interviewed regarding facility administration, quality assurance, and infection control |
| Medical Director | Medical Director | Interviewed regarding clinical oversight and quality assurance |
| Regional President of Operations | Regional President of Operations | Interviewed regarding oversight and quality assurance |
| Regional President of Regulatory Compliance | Regional President of Regulatory Compliance | Interviewed regarding regulatory compliance and quality assurance |
| Clinical Reimbursement Specialist | Clinical Reimbursement Specialist | Conducted audits of falls and care plans |
| Social Service Director-Floaters #1 | Social Service Director | Reviewed clinical progress notes for misappropriation |
| Social Service Director-Floaters #2 | Social Service Director | Reviewed clinical progress notes for misappropriation |
| Pharmacy Director | Pharmacy Director | Interviewed regarding medication return process and audits |
| Clinical Care Consultant | Clinical Care Consultant | Provided clinical support and participated in quality assurance |
| Training Manager | Training Manager | Interviewed regarding staff training and infection control education |
| Dietary Manager | Dietary Manager | Interviewed regarding kitchen sanitation and food safety |
| Dietary Aide #1 | Dietary Aide | Interviewed regarding kitchen sanitation and food safety |
| Assistant Director of Nursing | Assistant Director of Nursing | Interviewed regarding infection control and lift cleaning |
Inspection Report — Jan 24, 2019
Routine
Census: 123
Deficiencies: 11
Date: Jan 24, 2019
Visit Reason
Routine inspection of Sunrise Manor Nursing Home to assess compliance with regulatory requirements including resident care, safety, staffing, medication management, and facility environment.
Findings
The facility was found deficient in multiple areas including failure to provide timely assistance to residents with toileting and call light response, inadequate staffing levels, failure to maintain safe and comfortable environment, incomplete care plan updates, improper medication storage and accountability, and failure to ensure proper labeling and handling of enteral feeding systems.
Deficiencies (11)
F 0550: Facility failed to ensure residents were treated with respect and dignity, with call lights unanswered timely causing residents to soil themselves and feel undignified.
F 0553: Facility failed to invite Resident #91 to participate in his care plan conference, violating resident rights to participate in care planning.
F 0584: Facility failed to maintain a safe, clean, and homelike environment; Resident #55 had a deteriorated mattress and Resident #102 had a broken soap holder with sharp edges in the shower.
F 0656: Facility failed to follow care plans for four residents, resulting in residents waiting long periods for toileting assistance and soiling themselves.
F 0657: Facility failed to revise Resident #316's care plan after a fall to include interventions to prevent further falls.
F 0677: Facility failed to assist Resident #168 with toileting as care planned, resulting in the resident being incontinent and waiting long periods without assistance.
F 0689: Facility failed to ensure routine maintenance and safe use of shower chairs; Resident #82 fell when a shower chair broke, causing a hip fracture.
F 0693: Facility failed to ensure enteral feeding systems were properly labeled with resident name, date, time, and nurse initials to prevent infection.
F 0725: Facility failed to provide sufficient nursing staff to meet resident needs, resulting in delayed call light responses and residents soiling themselves.
F 0755: Facility failed to maintain accurate controlled drug accountability records with missing staff signatures on narcotic count forms for multiple medication carts.
F 0761: Facility failed to ensure refrigerated narcotics were stored in permanently affixed compartments and secured boxes inside medication refrigerators.
Report Facts
Residents present: 123
Scheduled CNAs vs worked CNAs: 16
Scheduled CNAs vs worked CNAs: 9
Scheduled CNAs vs worked CNAs: 20
Scheduled CNAs vs worked CNAs: 11
Scheduled CNAs vs worked CNAs: 19
Scheduled CNAs vs worked CNAs: 13
Scheduled CNAs vs worked CNAs: 18
Scheduled CNAs vs worked CNAs: 13
Scheduled CNAs vs worked CNAs: 20
Scheduled CNAs vs worked CNAs: 13
Scheduled CNAs vs worked CNAs: 23
Scheduled CNAs vs worked CNAs: 17
Scheduled CNAs vs worked CNAs: 22
Scheduled CNAs vs worked CNAs: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #13 | Certified Nursing Assistant | Involved in shower chair incident causing resident fall and hip fracture |
| LPN #8 | Licensed Practical Nurse | Described medication cart narcotic count process and medication refrigerator issues |
| RN #4 | Registered Nurse | Described feeding system labeling requirements and medication cart narcotic count process |
| DON | Director of Nursing | Provided multiple interviews on care plan, staffing, medication, and safety deficiencies |
| Administrator | Provided multiple interviews on facility policies, staffing, medication, and safety issues | |
| UM #1 | Unit Manager | Reported staffing shortages and impact on resident care |
| UM #2 | Unit Manager | Reported staffing shortages and impact on resident care |
| UM #3 | Unit Manager | Reported staffing shortages and monitoring of feeding system labeling |
| Staff Educator | Provided education on feeding system competency and medication refrigerator security | |
| CNA #9 | Certified Nursing Assistant | Reported failure to assist Resident #168 with toileting and call light response |
Inspection Report — Nov 21, 2017
Deficiencies: 6
Date: Nov 21, 2017
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident care, medication administration, dietary services, infection control, and restraint use at Sunrise Manor Nursing Home.
Findings
The facility was found deficient in multiple areas including failure to properly assess and document use of physical restraints, failure to ensure residents were free from chemical restraints, failure to follow physician medication orders, failure to provide therapeutic diets as ordered, failure to ensure medication availability, and failure to maintain effective infection control practices.
Deficiencies (6)
F 0221: The facility failed to assess one resident for use of a possible physical restraint (Broda chair) and did not complete required restraint assessments or pre-screenings.
F 0222: The facility failed to ensure one resident was free from chemical restraints, administering psychotropic medications without appropriate behavior monitoring.
F 0309: The facility failed to follow physician orders regarding medication administration for one resident, with missed doses of Eliquis due to lack of prior authorization and medication availability.
F 0367: The facility failed to provide therapeutic diets as ordered by the physician for two residents, including incorrect food consistencies and missing nutritional supplements.
F 0425: The facility failed to provide pharmaceutical services ensuring medication availability for one resident, resulting in missed doses of a vital medication due to insurance prior authorization delays.
F 0441: The facility failed to maintain effective infection control practices for one resident, with staff failing to change gloves and perform hand hygiene during perineal care.
Report Facts
Residents sampled: 24
Residents sampled: 25
Missed Eliquis doses: 5
PRN Ativan administrations: 7
Resident #17 weight: 87
Resident #15 readmission date: Nov 17, 2016
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #4 | Licensed Practical Nurse | Named in medication administration deficiency related to Eliquis availability |
| CNA #7 | Certified Nursing Assistant | Named in infection control deficiency related to failure to change gloves and hand hygiene during perineal care |
| Director of Nursing | Director of Nursing | Provided interviews clarifying restraint, medication, and infection control policies and deficiencies |
| Unit Manager #3 | Unit Manager | Provided interview regarding medication availability and procedures |
| Administrator | Facility Administrator | Provided interview regarding facility awareness of deficiencies and importance of compliance |
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