Sugar Creek Care Center

In the surveyor’s words

From the most serious findings on record at Sugar Creek Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Aug 28, 2026

  Based on review of facility policies, observations, and staff interview, it was determined that the facility failed to ensure that food was stored in accordance with standards of food safety in two of two unit pantries (East and West); and failed to maintain sanitary conditions in one of two resident refrigerators (East Pantry). Findings include: Review of facility policy entitled, Equipment Temperature Logs with a policy review date of 7/7/26, indicated the dining services manager will be responsible for implementing daily equipment logs to ensure quality and optimal function of food service equipment; the dining service manager will use the refrigeration and freezer temperature log to record the temperatures of all refrigerators and freezers on a daily basis. […]

• No harm, potential for more than minimal, patternF842Mar 26, 2026

  Based on review of clinical records, and staff interview, it was determined that the facility failed to have complete and accurate documentation regarding showers for four of four residents reviewed (Residents R1, R2, R3, and R4).Findings include: Review of facility policy entitled Bath, Shower/Tub dated 1/20/26, indicated Documentation: The date and time the shower/tub bath was performed. The name and title of the individual(s) who assisted the resident with the shower/tub bath. Review of facility policy entitled Activities of Daily Living (ADLs), Supporting dated 1/20/26, indicated Appropriate care and services will be provided for residents who are unable to carry out ADLs [activities of daily living] independently. […]

• No harm, potential for more than minimal, patternF561Nov 13, 2025

  Based on a review of facility policy, clinical and facility records, resident and staff interviews, and observations, it was determined that the facility failed to provide a bath/shower as resident preference for four of 13 residents (Resident R1, R2, R3, and R4) and failed to assure residents attain or maintain the highest practicable mental and psychosocial well-being by not serving meals in the dining room and having group activities for six of 13 residents (Residents R1, R4, R6, R7, R8, and R9). Findings include:No facility policy was provided for showers.Review of a facility policy entitled Coronavirus Disease dated 6/04/25, indicated The interdisciplinary team reviews an outbreak to see if they should refrain from communal activities. […]

• No harm, potential for more than minimal, patternF812Sep 20, 2024

  Based on review of a facility policies, observations, and staff interviews, it was determined that the facility failed to ensure that food was stored in accordance with standards for food safety in two of two unit refrigerators reviewed (East Unit and [NAME] Unit). Findings include: A facility policy entitled Use and Storage of Food and Beverage brought in for Residents dated 5/1/24, revealed it is the policy of this facility to provide safe and sanitary storage, handling, and consumption of all food including food and fluids brought to residents by family and other visitors. Additionally, the facility procures food from sources approved or considered satisfactory by federal, state, or local authorities. […]

• No harm, potential for more than minimal, patternF836Oct 20, 2023

  Based on review of clinical records and Title 49. Professional and Vocational Standards, and staff interview, it was determined that the facility failed to assure that a Registered Nurse (RN) conducted initial and/or follow up resident wound assessments for two of two residents with wounds (Residents R33 and R92). Findings include: Review of the Title 49. Professional and Vocational Standards, Department of State Chapter 21, State Board of Nursing, dated 7/29/23, indicated that under Responsibilities of the RN, 21.11, General Functions. […]