Sunny Acres Nursing Home

In the surveyor’s words

From the most serious findings on record at Sunny Acres Nursing Home, in the surveyor’s own words.

• Immediate jeopardy, isolatedF690Jan 27, 2025

  Based on observation, interview, and record review the facility failed to ensure a resident's indwelling urinary catheter maintained patency, monitor a resident's urinary output, notify the physician of no/decreased urinary output, obtain physician ordered urinalysis results, and follow up with the physician in regards to abnormal urinalysis results, for two of three residents (R1 and R5) reviewed for indwelling urinary catheters and has the potential to affect all five residents (R1, R3, R4,R5, R6) with indwelling urinary catheter out of a total sample of six. […]

• Actual harm, isolatedF684May 20, 2026

  A.Based on observation, interview, and record review, the facility failed to ensure wound treatments were completed as ordered, appropriate infection control practices were followed during wound care, a readmission assessment was completed, physician ordered pressure relieving interventions were implemented, and worsening wound conditions were monitored and reported to the physician for one (R66) of six residents reviewed for wound care in the sample list of 32. This failure resulted in worsening wound conditions with development of osteomyelitis to R66's right foot requiring hospitalization, surgical debridement, and intravenous antibiotic therapy B. […]

• Actual harm, isolatedF600Feb 28, 2026

  Based on observation, interview, and record review the facility failed to provide adequate supervision to prevent verbal and physical resident-to-resident abuse for two of four residents (R1 and R2) reviewed for abuse in the sample of seven. These findings resulted in R1 physically assaulting R2 causing R2 pain, a laceration to the left cheek, and two large hematomas to the bilateral shins which required emergency room services.Findings include:The facility's Abuse Prohibition Policy, dated 1/29/2026, documents Abuse and Neglect Prohibited: 1. All residents have the right to be free from verbal, sexual, physical, mental abuse, corporal punishment, involuntary seclusion, neglect, misappropriation of property, and exploitation. […]

• Actual harm, isolatedF600Jul 26, 2025

  Based on observation, interview, and record review the facility failed to protect a resident from staff-to-resident mental and verbal abuse for two of three residents (R4 and R9) reviewed for abuse in the sample of 17. These findings resulted in V5 (CNA/Certified Nursing Assistant) yelling at R4 and causing R4 to feel belittled, to feel like a child, and feel verbally abused.Findings include:The facility's Abuse Prohibition Policy, dated 3/15/2018, documents Abuse and Neglect Prohibited: 1. All residents have the right to be free of from verbal, sexual, physical, mental abuse, corporal punishment, involuntary seclusion, neglect, misappropriation of property, and exploitation. […]

• Actual harm, isolatedF697Mar 5, 2025

  Based on interview and record review the facility failed to administer a prescribed opioid medication to keep resident's pain controlled, failed to perform a pain assessment while the resident was not receiving her prescribed opioid medications, and failed to notify the physician of the need for a refill order and complaints of increased pain for one of one resident (R32) reviewed for pain in the sample of 35. These findings resulted in R32 experiencing stress and excruciating pain for over a week, that radiated to the neck and jaw. Findings include: The Facility's Management of Pain Policy dated 4/4/12 documents Our mission is to facilitate resident independence, promote resident comfort and preserve resident dignity. […]