Sunny Ridge

In the surveyor’s words

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

• Actual harm, isolatedF689Jan 10, 2025

  Based on record review and staff interview, it was determined the facility failed to provide adequate supervision and functioning devices to prevent resident's fall. This was true for 1 of 3 residents (Resident #143) reviewed for accidents and falls. Resident #143 was harmed when he was being transported to the restorative dining room, and sustained a laceration on his head when he fell . Findings include: Resident #143 was admitted to the facility on [DATE] with multiple diagnoses including Parkinson's disease, heart disease, osteoarthritis, cognitive decline, and depression. An MDS significant change assessment, dated 4/16/24, documented Resident #143 was cognitively intact. […]

• Actual harm, isolatedF600Feb 10, 2023

  Based on policy review, record review, review of the State Survey Agency's Long-Term Care Reporting Portal, resident interview, and staff interview, it was determined the facility failed to protect residents' rights to be free from physical and verbal abuse. This was true for 6 of 10 residents (#2, #7, #35, #36, #37, and #136) reviewed for abuse. This failure resulted in harm to Resident #2 and Resident #136. This failure also placed residents at risk of ongoing abuse and potential physical and psychosocial harm. Findings include: The facility's Abuse Prevention Program policy, revised 12/2016, stated the facility would protect residents from, as well as prevent, all types of abuse, neglect, misappropriation of property, and exploitation by anyone including staff and other residents. […]

• No harm, potential for more than minimal, widespreadF809Feb 10, 2023

  Based on observation, policy review, and resident and staff interview, it was determined the facility did not offer a bedtime snack and allowed residents to go more than 14 hours between meals. This was true for 3 of 16 residents (#3, #8, and #25) interviewed for concerns with food. This failure had the potential to impact residents in the facility who wanted a bedtime snack or who were at risk for nutritional compromise and had the potential to harm residents if they experienced hunger, low blood sugar levels, or did not receive adequate nutritional support for healing or weight loss. Findings include: Sixteen residents were asked if they had any concerns with their food and three residents stated they had issues regarding snacks. Their statements are as follows: a. […]

• No harm, potential for more than minimal, patternF761Jan 23, 2026

  Based on observation, policy review, and staff interview, it was determined the facility failed to ensure medications available for residents were not expired and kept in a temperature-controlled environment; this was true for 2 of 2 medication carts and 1 storage room observed. This failure created the potential for residents to receive medications with decreased efficacy. Findings include:The facility's Medication Labeling and Storage policy revised 2/2023, documented: If the facility has discontinued, outdated or deteriorated medications or biologicals, the dispensing pharmacy is contacted for instructions regarding returning or destroying these items.1. On 1/22/26 at 8:00 AM, the East Hall medication cart was inspected with LPN #1 present. […]

• No harm, potential for more than minimal, patternF812Jan 23, 2026

  Based on observation, the SOM Appendix PP, review of the FDA Food Code, and staff interview it was determined the facility failed to provide a clean and sanitary environment required for food safety, as well as cleaning and sanitizing dishes used by facility residents. This was true for 31 of 32 residents who received food prepared by the facilities kitchen. These deficient practices created the potential for harm by placing residents at risk for potential foodborne illnesses and adverse health outcomes. Findings include:1. […]