Sunny Hills Post Acute

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Apr 24, 2025

  Based on observation, interview, and record review, the facility failed to provide supervision to one of two sampled residents (Resident 1) identified as an elopement (the act of leaving a facility unsupervised and without prior authorization) risk by failing to: 1. Follow its policy and procedures (P&P) titled Accidents and Supervision, which indicated the facility will implement interventions to prevent injury to residents. 2. Follow its P&P titled Elopements and Wandering Residents, which indicated residents with a risk for elopement would receive supervision to prevent accidents. 3. Utilize a systematic approach to monitoring and managing Resident 1 to prevent the resident from leaving the facility unsupervised. 4. […]

• Immediate jeopardy, isolatedF678Mar 14, 2023

  Based on interview and record review, the facility failed to ensure the resident, who was found on the floor unresponsive (lack of response) and pulseless (when the heart stops), and who was a Full Code (if a person's heart stopped beating and/or they stopped breathing, all resuscitation (action or process of reviving someone from unconsciousness or apparent death) procedures will be provided to keep them alive) was provided basic life support ([BLS], care healthcare professionals provide to anyone who's heart stops beating suddenly) including cardiopulmonary resuscitation ([CPR)] an emergency procedure to restart a person's heart (chest compressions) and breathing after one or both have stopped) immediately without a delay and loss of critical time to revive the resident for one of five… […]

• Actual harm, isolatedF684Oct 27, 2023

  Based on observation, interview and record review, the facility failed to provide the necessary care and services for 6 of 24 sampled residents by failing to: 1. Check Resident 268's blood glucose level (amount of sugar in the blood stream, the normal value between 70 milligrams [mg, unit of measurement] per (/) deciliter [dL, unit of measurement] and 100 mg/dL) prior to administering Insulin Glulisine (a fast-acting medication to lower high blood sugar). 2. Accurately transcribe (copy from one place to another) Resident 268's discharge medication order for Insulin Glargine (a long-acting medication to lower high blood sugar) when readmitted to the facility on [DATE] from a long-term acute care hospital (LTACH). 3. […]

• Actual harm, isolatedF686Oct 7, 2023

  Based on observation, interview, and record review, the facility failed to ensure one of three sampled residents (Resident 1), who was admitted to the facility with no pressure ulcers and/or injuries (damaged skin caused by staying in one position for too long), was turned and repositioned every 2 hours to prevent the development of an unstageable pressure ulcer (full-thickness skin and tissue loss in which the extent of tissue damage within the ulcer cannot be confirmed because the wound bed is obscured by slough [yellow/white material consisting of dead cells that accumulate in the wound, contributing to delayed wound healing or eschar [collection of dry, dead tissue within a wound]). […]

• Actual harm, isolatedF684Feb 17, 2023

  Based on interview and record review, the facility failed to ensure the resident, who was receiving Zyprexa (an antipsychotic [a medication that works by altering brain chemistry to help reduce psychotic symptoms [including delusions (false beliefs) and hallucinations (seeing or hearing things that others do not see or hear)]medication that can treat several mental health conditions including schizophrenia), received care and services to prevent and manage constipation (condition when stools remain in the colon (large intestine) for too long, and the colon absorbs too much water from the stool, causing them to become hard and dry) as one of Zyprexa side effects for one of two sampled residents (Resident 1). (Cross referenced to F 758) The facility failed to: 1. […]