Sun Harbor Healthcare

In the surveyor’s words

From the most serious findings on record at Sun Harbor Healthcare, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF677Sep 19, 2024

  Based on observation, review of the clinical record, review of facility policy and procedures, resident and staff interviews, the facility failed to provide the necessary care and services to maintain personal hygiene for 4 (Resident #8, #17, #95, and #47) of 4 sampled residents who required assistance with activities of daily living (ADL's). The findings included: The facility policy Activities of Daily Living documented, The facility shall ensure a resident is given the appropriate treatment and services to maintain or improve his or her ability to carry out the activities of daily living . A resident who is unable to carry out activities of daily living shall receive the necessary services to maintain good nutrition, grooming and personal and oral hygiene . 1. […]

• No harm, potential for more than minimal, patternF688Sep 19, 2024

  Based on observation, review of the clinical record, review of the facility policy and procedure and resident and staff interviews, the facility failed to ensure appropriate treatment, equipment and services to maintain mobility for 2 (Resident #17 and #95) of 5 residents reviewed with contractures and splinting devices. The findings included: Review of the facility policy Assistive Devices and Equipment documented, Our facility provides, maintains, and supervises the use of assistive devices and equipment for residents. Devices and equipment that assist with resident mobility, safety and independence are provided for residents. Recommendations for the use of devices and equipment are based on the comprehensive assessment and documented in the resident's plan of care. 1. […]

• No harm, potential for more than minimal, patternF761Sep 19, 2024

  Based on observations, staff and resident interview and record review the facility failed to safely store medication to prevent unauthorized access for 3 (Resident #6, #24, and #94) of 3 residents observed with unsecured medications at bedside. The findings included: Review of the facility's policy titled, Administering medications with a revision date of 2/21/24 revealed Residents may self-administer their own medications only if the Attending Physician, in conjunction with the Interdisciplinary Care Planning Team, has determined that they have the decision-making capacity to do so safely. […]

• No harm, potential for more than minimal, patternF655Oct 28, 2021

  Based on record review, staff and resident interview, the facility failed to provide documented evidence resident and/or representative, if applicable, were provided with a copy of a written summary of the baseline care plan which included initial goals, a summary of current medications, and dietary instructions for 8 (Resident #54, #100, #112, #160, #261, #262, #266, and #267) of 8 residents reviewed for baseline care plans. The findings included: On 10/27/21, review of facility policy Plan of Care, revised 9/25/17, revealed Develop and implement an individualized Person-Centered baseline plan of care within 48 hours of admission that includes, but not limited to, initial goals based on the admission orders [MEDICAL RECORD OR PHYSICIAN ORDER] . 1. […]

• No harm, potential for more than minimal, isolatedF551Sep 19, 2024

  Based on observation, record review, resident representative and staff interviews, the facility failed to act on the designated Health Care Surrogate request for a change of treatment for 1 (Resident #118) of 2 residents reviewed for choices and representative involvement in care plan and decision making. The findings included: Review of the clinical record revealed Resident #118 was admitted to the facility on [DATE]. Diagnoses included Dementia with psychotic disturbance, Alzheimer's disease, Atrial Fibrillation (irregular heartbeat), and cardiac pacemaker (implanted device that regulated the heart's rhythm). The Advance Health Care Directive in the clinical record revealed on November 20, 1995, Resident #118 designated her husband to be her healthcare surrogate. […]