Sun City Post Acute

In the surveyor’s words

From the most serious findings on record at Sun City Post Acute, in the surveyor’s own words.

• Actual harm, isolatedF686Aug 6, 2021

  Based on clinical record review, staff interviews, and review of policies and procedures, the facility failed to ensure two out of two residents (#24 and #61) sampled received necessary treatment and services to promote healing and prevent new ulcers from developing. The deficient practice could result in pressure ulcer complications and new pressure ulcer formation. Findings include: -Resident #24 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF552Feb 28, 2025

  Based on observation, interviews, record review, and the state agency reporting system, the facility failed to ensure resident rights to informed consent regarding insurance changes for 4 of 5 sampled residents (#1, # 2, #3 and #4). Failing to fully inform what a change in plan can do, may cause a delay in care, change benefits to assist a resident that was chosen for a specific reason or harm to a resident. Findings include: - Resident #1 was admitted on [DATE] with medical diagnoses that include: cellulitis, anemia, peripheral vascular disease, type 2 diabetes mellitus with hyperglycemia. An MDS (Minimum Data Set) assessment dated [DATE] revealed a BIMS (Brief Interview for Mental Status) score of 15 indicating that resident #1 was cognitively intact. […]

• No harm, potential for more than minimal, patternF600Jan 4, 2024

  Based on clinical record review, staff interviews, and facility policy and procedures, the facility failed to ensure that two residents (#620 and # 600) was free from abuse of another. The deficient practice could result on resident being physically and psychosocially harmed by other residents. Finding includes: -Regarding Resident # 620 Resident #620 (alleged victim) was admitted to facility on October 5, 2023 with diagnosis included senile degeneration of brain, muscle weakness, depression, obstructive, and reflux uropathy. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed a BIMS score of 06 indicating that the resident has severe cognitive impairment. […]

• No harm, potential for more than minimal, patternF809Dec 2, 2022

  Based on observations, resident and staff interviews, facility documentation and review of policy, the facility failed to ensure that residents (#94, #151, #162, & #27) meals were provided at scheduled times. The deficient practice could result in residents not receiving their meals on time. Findings include: Resident #94 was admitted to the facility on [DATE] with diagnosis that included chronic kidney disease, stage 3, need for assistance with personal care and muscle weakness. The state database information received on October 24, 2022 stated that the facility administrator was notified of care concerns regarding the resident on October 24, 2022 at approximately 8:30 am. […]

• No harm, potential for more than minimal, patternF684Aug 6, 2021

  Based on clinical record review, staff interviews, and review of policies and procedures, the facility failed to ensure one resident (#24) received treatment and care in accordance with professional standards regarding wound/skin treatments and monitoring. The sample size was 18. The deficient practice could result in adverse outcomes for residents. Findings include: Resident #24 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Regarding the external fixator pin sites: Review of a nurse progress note dated March 13, 2020 revealed the resident was a new admission from the hospital and had an external fixation device to the right lower extremity with six pins into the skin with ace wraps from the knee to ankle. […]