Sun Mar Nursing Center

In the surveyor’s words

From the most serious findings on record at Sun Mar Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF908Aug 27, 2026

  Based on observation, interview, and facility document review, the facility failed to maintain essential equipment in safe operating condition. * The facility failed to ensure the ice machine was not cleaned and sanitized according to the manufacturer's instructions. This failure had the potential for the essential equipment to not function in the way they were intended and in turn cause contamination of food, leading to illnesses for the residents. Findings: Review of the facility's matrix (undated) showed 63 residents consumed food prepared in the kitchen. Review of the USDA Food Code 2022, Section 4-601.11 Equipment, Food-Contact Surfaces, Nonfood-Contact Surfaces, and Utensils, (A) EQUIPMENT FOOD-CONTACT SURFACES and UTENSILS shall be clean to sight and touch. […]

• No harm, potential for more than minimal, patternF812Jun 16, 2025

  Based on observation, interview, and facility P&P review, the facility failed to ensure the food safety and sanitation requirements were met in the kitchen as evidenced by: * The facility failed to ensure the opened food items in the freezer were properly stored, dated, and labeled. * The facility failed to discard the items in the refrigerator that were past the use-by date, as per the facility's P&P. * The facility failed to ensure the juice boxes and thickener (for the juice dispenser) were properly labeled and discarded. * The facility failed to ensure the kitchen utensils and equipment were stored or kept in sanitary conditions. * The facility failed to ensure the food preparation equipment was in good condition. […]

• No harm, potential for more than minimal, patternF812Dec 20, 2022

  Based on observation and interview, the facility failed to ensure the food was prepared and served in accordance with professional standards for food safety as evidence by:. * The facility failed to ensure the food which was prepared to be served to the residents from the kitchen was free from chemical contamination. * The facility failed to maintain the temperatures of the milk were appropriate when served to the residents. These failures had the potential to cause foodborne illnesses in a medically vulnerable resident population who consumed food prepared in the kitchen. Findings: Review of the CMS 672 form completed by the facility dated 12/12/22, showed 63 residents received the food prepared in their dietary department. 1. […]

• No harm, potential for more than minimal, isolatedF550Aug 27, 2026

  Based on observation, interview, medical record review, and facility P&P review, the facility failed to ensure resident care was provided in a manner that maintained and enhanced the dignity for one of eight residents observed during dining (Resident 25). * The facility failed to ensure CNA 1 was seated at eye level with Resident 25 while assisting the resident with eating. This failure had the potential to negatively impact Resident 25's sense of dignity, self-worth, and well-being.Findings: Review of the facility P&P titled Promoting/Maintaining Resident Dignity dated 5/7/26, showed it was the practice of the facility to protect and promote resident rights and treat each resident with respect and dignity as well as care for each resident in a manner and in an environment, that maintains… […]

• No harm, potential for more than minimal, isolatedF552Aug 27, 2026

  Based on interview, medical record review, and facility P&P review, the facility failed to ensure the residents and/or resident representatives were provided with the right to self-determination for one of five sampled residents reviewed for unnecessary medications (Residents 7). * The facility failed to ensure the informed consent for the Abilify (antipsychotic medication) specified nonpharmacological interventions to be provided to Resident 7. This failure had the potential to compromise the resident's right, or the right of the designated representative, to be fully informed regarding the psychotropic medication, including possible nonpharmacological approaches, in order to make an informed decision.Findings: Review of the AFL 25-27 titled AB 48 - Nursing Facility Resident Informed… […]