Inspection Report
Renewal
Census: 27
Capacity: 54
Deficiencies: 0
Apr 24, 2025
Visit Reason
The inspection was conducted as a renewal inspection to determine compliance with applicable licensing statutes and rules for the facility's license renewal.
Findings
The facility was found to be in substantial compliance with the public health code and administrative rules regulating home for the aged facilities. Renewal of the license is recommended.
Report Facts
Number of staff interviewed and/or observed: 9
Number of residents interviewed and/or observed: 27
Number of others interviewed: 2
Capacity: 54
Inspection Report
Renewal
Deficiencies: 0
Jul 14, 2023
Visit Reason
The document serves as a renewal notification for the Home for the Aged license following an administrative review of licensing activity for the past year.
Findings
The facility was found to be in substantial compliance with the public health code and administrative rules regulating home for the aged facilities, resulting in license renewal.
Report Facts
License effective period: 365
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brender Howard | Licensing Staff | Signed the renewal notification letter |
Inspection Report
Original Licensing
Capacity: 54
Deficiencies: 9
Jul 2, 2019
Visit Reason
This is an original licensing study report for Sunrise on Vernier, a home for the aged, following a change in operator necessitating a new license.
Findings
The facility was found to be in non-compliance with multiple rules including inadequate service plans for assistive devices and medications, failure to document medication administration reasons, improper narcotic medication count procedures, unsanitary ice machine maintenance, incomplete resident admission contracts, deficient admission and discharge policies, and failure to provide a facility-specific Alzheimer’s care program statement.
Deficiencies (9)
| Description |
|---|
| Service plan for Resident A's Halo bed rail device did not comply with physician's order and lacked sufficient care and safety details. |
| Resident B's service plan did not address the use of prescribed medication for agitation and staff failed to document reasons for as-needed medication administration. |
| Staff signed narcotic count sheet before conducting the required medication count, violating facility protocol. |
| Ice machine cleaning and sanitization was not documented monthly as required, with last record dated 4/20/19. |
| Resident admission contract was not properly executed between resident and current licensee, and lacked required details on services, fees, rights, and policies. |
| Admission policy did not meet requirements for documenting resident needs, eligibility, service plan development participation, or communicable disease screening. |
| Discharge policy was incomplete, omitting required procedures and notice requirements. |
| Resident contract did not comply with incident reporting requirements, failing to ensure notification within 48 hours to authorized representatives and physicians. |
| Facility did not provide a program statement specific to this facility for Alzheimer’s disease services as required by statute. |
Report Facts
Facility capacity: 54
Medication administrations: 6
Ice machine cleaning last recorded: Apr 20, 2019
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kristy Britton | Authorized Representative | Named in relation to disaster plan submission and exit conference |
| Andrea Krausmann | Licensing Staff | Author of the licensing study report |
| Russell B. Misiak | Area Manager | Approved the licensing study report |
| Aaliyah Cammon | Named in narcotic medication count protocol violation | |
| Ron Perry | Cook | Provided information about ice machine cleaning |
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