Sun Health Grandview Care Center

In the surveyor’s words

From the most serious findings on record at Sun Health Grandview Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF761Aug 1, 2025

  Based on a review of clinical records review, resident and staff interviews, and policy review, the facility failed to ensure that medications were not left at the resident's bedside for 2 of 61 sampled residents (#36, #39). The deficient practice could result in the overmedication or undermedication of residents.-Regarding Resident #36Resident #36 was admitted to the facility on [DATE] with diagnoses that included fracture of the right femur, unspecified fall, acute post hemorrhagic anemia, and hypotension.An admission Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview of Mental Status (BIMS) score of 15, which indicating intact cognition.During an initial observation of Resident #36's room on July 29, 2025 at 1:40 p.m., a container of Refresh lubricant eye drops… […]

• No harm, potential for more than minimal, patternF812Aug 1, 2024

  Based on observation, staff interviews, and policy review, the facility failed to ensure food was stored in accordance with appropriate temperature guidelines for facility refrigerators and the kitchen freezer. The universe was 57. The deficient practice could increase the risk for foodborne illness. Findings include: An observation was conducted on July 29, 2024 at approximately 7:40 A.M on the third floor of the facility. The refrigerator temperature log identified with the location of Canyon revealed that on July 22, 2024, the refrigerator had a temperature of 44 degrees Fahrenheit at 8:00 A.M. Per the temperature log, there was not documented evidence that any corrective action had taken place or that the manager had reviewed the temperature log for that day. […]

• No harm, potential for more than minimal, patternF812Apr 21, 2023

  Based on observations, staff interview, and policy review, the facility failed to maintain a clean and sanitary kitchen, failed to maintain refrigerator temperature, failed to ensure food items were labeled, and failed to ensure expired food items were not available for use. The deficient practice could result in a potential for food borne illness. Findings include: During an initial walk through of the kitchen conducted with kitchen manager (staff #42), on [DATE] at 10:30 am, there was a tub of sour cream with expiration date of [DATE], a jug of lemon juice with expiration date of [DATE], a red onion wrapped in saran wrap with expiration date of [DATE], and a package of sliced swiss cheese with expiration date of [DATE]. […]

• No harm, potential for more than minimal, isolatedF583Aug 1, 2025

  Based on observation, staff interviews, and the facility policy and procedures, the facility failed to ensure two (#21 and #104) of 61 sampled residents' privacy was respected.Findings included: Resident #21 was admitted to the facility on [DATE] with diagnoses that included aftercare following joint replacement surgery, urinary tract infection, and unspecified dementia. The Minimum Data Set, dated [DATE] included a brief interview for mental status score of 4 indicating the resident severe cognitive impairment. The care plan dated July 17, 2025 revealed that resident #21 has impaired cognitive function/dementia or impaired thought processes related to dementia. […]

• No harm, potential for more than minimal, isolatedF880Aug 1, 2025

  Based on observations, clinical record review, resident and staff interviews, and review of facility policy, the facility failed to ensure proper infection control was followed and maintained regarding placement of the catheter bag for one of 1 sampled residents (#23). The deficient practice could result in development and transmission of infections.Findings include:Resident #23 was admitted to the facility on [DATE], with diagnoses that included acute kidney failure, retention of urine, type 2 diabetes mellitus with a foot ulcer, and depression.The admission minimum data set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 13, indicating the resident had intact cognition. […]