Sun Prairie Senior Living

In the surveyor’s words

From the most serious findings on record at Sun Prairie Senior Living, in the surveyor’s own words.

• Actual harm, isolatedF684Nov 30, 2023

  Based on interview and record review, the facility did not ensure that 1 (R19) of 12 residents out of a total sample of 14 residents received assessment and appropriate and timely medical care with a change in medical condition. R19 had an unwitnessed fall on 10/21/23 at 6:15 PM. R19 experienced change of condition and the facility failed to properly assess range of motion (ROM)/change in ambulation ability on 10/21/23. The facility failed to identify change in resident when resident experienced the inability to move right leg and increased weakness on 10/21/23 and the morning of 10/22/23. R19 went to emergency roiagnom on [DATE] at 11:00 AM and was diagnosed with a right hip fracture. […]

• No harm, potential for more than minimal, widespreadF812Apr 1, 2026

  Based on observation, interview, and record review, the facility did not maintain a safe and sanitary environment in which food is prepared, stored, and distributed. This has the potential to affect all 34 residents who reside in the facility.Surveyor observed cereal spilled on the floor and an open container for storing dry pasta in the kitchen pantry.Surveyor observed milk temperatures to be out of range on room trays being delivered to residents for lunch.Surveyor observed sanitizing solution to test outside of the recommended range for parts per million (ppm) concentration.Surveyor observed male staff to have facial hair and to be working with resident food without hair restraints in place.Surveyor observed a refrigerator for resident snacks to be broken with melted, warm food inside… […]

• No harm, potential for more than minimal, widespreadF727Jan 9, 2025

  Based on record review and interview, the facility did not ensure a Registered Nurse (RN) worked for 8 consecutive hours in a day, 7 days a week. This has the potential to affect all 33 residents (R) residing within the facility. On Wednesday, January 1, 2025, the facility did not have an RN in the building 8 consecutive hours on any of the three shifts. Evidenced by: On 1/8/25 at 9:43 AM, Surveyor reviewed nursing staff schedules and postings from 12/23/24 to 1/6/25. Surveyor observed no RN on the schedule for 1/1/25 and the posting which shows hours worked for nursing staff was filled with zeros for all three shifts under RN column for 1/1/25. On 1/9/25 at 2:40 PM, Surveyor interviewed DON B (Director of Nursing) regarding RN coverage. […]

• No harm, potential for more than minimal, widespreadF812Jan 9, 2025

  Based on observation, interview, and record review, the facility did not maintain a safe and sanitary environment in which food is prepared, stored, and distributed. This has the potential to affect all 33 residents who reside in the facility. Surveyor observed male staff to have facial hair and to be working with resident food without hair restraints in place. The facility did not keep a record of when staff manually monitored the internal temperature of the facility's dishwasher. Surveyor observed food to be in circulation passed the use by date. Surveyor observed dented cans to be in circulation. Surveyor observed food that had been removed from the original packaging to be unlabeled and undated. […]

• No harm, potential for more than minimal, widespreadF880Jan 9, 2025

  Based on observation, interview, and record review, the facility has not established an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. This has the potential to affect the entire census of 33 residents. The facility was in a COVID-19 outbreak and the facility failed to do contact tracing and complete appropriate testing of residents and staff. The facility is not placing all staff that call in sick on the employee line list. […]