Buhler Sunshine Home

In the surveyor’s words

From the most serious findings on record at Buhler Sunshine Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Feb 13, 2025

  The facility had a census of 50 residents. Based on observation, record review, and interview, the facility failed to implement a water management program for Legionella disease (Legionella is a bacterium spread through mist, such as air-conditioning units in large buildings. Adults over the age of 50 and people with weak immune systems, chronic lung disease, or heavy tobacco use are most at risk of developing pneumonia caused by legionella). This deficient practice placed the residents at risk of contracting infectious processes. Findings included: - On 02/13/25 at 10:17 AM, Maintenance Staff U stated he was not aware of whom managed the waterborne pathogen prevention program that included the prevention of Legionella disease. […]

• No harm, potential for more than minimal, widespreadF812Apr 19, 2023

  The facility reported a census of 45 residents. The facility had one main kitchen. The kitchen served food to two dining areas. Based on observation, interview, and record review, the facility failed to properly store food in the main kitchen refrigerators due to foods left uncovered, boxes placed directly on the floor in the kitchen area, and staff failed to discard expired foods in accordance with professional standards for food service safety, to prevent food borne illness to the residents. Findings included: - During the brief initial tour of the kitchen, on [DATE] at 08:27 AM, observation revealed the following concerns: 1. The walk-in refrigerator had six 16-ounce (oz) containers of grated parmesan cheese with a use by date of [DATE]. 2. […]

• No harm, potential for more than minimal, widespreadF812Oct 21, 2021

  The facility reported a census of 45 residents. The facility had one main kitchen where food was stored and prepared serving two dining rooms. Based on observation, interview, and record review the facility failed to properly store food in a snack fridge due to lack of temperature monitoring and failed to ensure the dishes and cookware were washed under sanitary conditions, due to the lack of chemical or temperature monitoring. Findings included: - Observation on 10/18/21 at 11:39 AM revealed no temperature or chemical log available for the dishwasher in the Memory Care Unit (MCU). Interview on 10/18/21 at 11:39 AM CMA J stated the staff in the MCU washed their own dishes with a dishwasher which used chemicals and were metered in by the machine. […]

• No harm, potential for more than minimal, isolatedF580Feb 13, 2025

  The facility had a census of 50 residents. The sample included 13 residents. Based on observation, record review, and interview, the facility failed to notify the physician of episodes of syncope (fainting or passing out) and lightheadedness of one resident, Resident (R) 32. This placed the resident at risk for further decline and a delay in treatment. Findings included: - The Electronic Medical Record (EMR) documented R32 had diagnoses of Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure), anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear), diabetes mellitus (DM - when the body cannot use glucose, not enough insulin is made, or the body cannot respond to the insulin) type two, and… […]

• No harm, potential for more than minimal, isolatedF657Feb 13, 2025

  The facility had a census of 50 residents. The sample included 13 residents. Based on observation, record review, and interview, the facility failed to revise a care plan with direction to staff for interventions when one resident has periods of syncope and lightheadedness, Resident (R) 32. This placed the resident at risk for decline. Findings included: - The Electronic Medical Record (EMR) documented R32 had diagnoses of Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure), anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear), diabetes mellitus (DM - when the body cannot use glucose, not enough insulin is made, or the body cannot respond to the insulin) type two, and arteriosclerotic heart… […]