Sunland Post Acute

In the surveyor’s words

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

• Immediate jeopardy, patternF760Apr 14, 2021

  Based on interview, and record review, the facility failed to administer six doses of [MEDICATION(S)] (also known by the brand name, [MEDICATION(S)], an anticoagulant [blood thinner] to prevent blood clot formation [thrombus that partially blocks the vessel] which may detach or break off [embolus] and moves through the blood vessels until it gets stuck in small vessels [embolism], it usually affects the legs, lungs, or heart) from 3/24/2021 until 3/30/2021 for one of three sampled residents (Resident 136) prescribed [MEDICATION(S)]. […]

• Immediate jeopardy, patternF880Apr 14, 2021

  Based on observation, interview, and record review, the facility failed to practice infection control measures by: 1. Failing to ensure three of three sampled residents (Resident 75, 136, and 141) were free from serious risk of bloodborne infections (germs transmitted through human blood and can cause diseases including [CONDITION(S)] and C [a virus affecting the liver] and human immunodeficiency virus [HIV, a virus that attacks the body's immune system]) when licensed nurses failed to disinfect (clean with a chemical, to destroy bacteria) the International Normalized Ratio (INR, used to determine an effective dose of an anticoagulant [blood thinner] medication) testing device (a small portable device to measure the INR by taking a drop of blood from a finger into a test strip (strip of… […]

• Immediate jeopardy, isolatedF689Jul 16, 2021

  Based on observation, interview, and record review, the facility failed to ensure that one of three sampled residents (Resident 1) who exhibited wandering behavior was kept free from accidents and hazards by failing to: 1. Re-evaluate elopement (leaving the facility without prior approval) risk behavior after Resident 1 was found wandering outside of the facility on 6/23/2021. 2. Ensure facility staff conducted hourly monitoring of Resident 1 as indicated in his care plan to provide the necessary supervision to prevent elopement. 3. […]

• Actual harm, isolatedF600May 5, 2025

  Based on interview and record review, the facility failed to protect the resident ' s right to be free from physical abuse (deliberately aggressive or violent behavior with the intention to cause harm) for one of six sampled residents (Resident 1) when on 4/19/2025, Resident 2 hit Resident 1 ' s face several times with a fist (a person ' s hand when the fingers are bent in toward the palm and held there tightly). This deficient practice resulted in Resident 1 being subjected to physical abuse by Resident 2 while under the care of the facility. […]

• Actual harm, isolatedF694Oct 11, 2024

  Based on interview, and record review, facility staff (Registered Nurse 3 [RN 3]) failed to monitor and provide peripheral (away from the center of the body) intravenous (IV- into a vein) line care to one of one sampled resident (Resident 65) on 10/6/2024, when Resident 65 complained of pain to the IV site on the left forearm. This deficient practice resulted in RN 3 continuing to use Resident 65's IV site on the left forearm on 10/6/2024 to administer IV medication further causing Resident 65 to experience untreated pain to the IV site. […]