Sunny Springs Nursing & Rehab

In the surveyor’s words

From the most serious findings on record at Sunny Springs Nursing & Rehab, in the surveyor’s own words.

• Immediate jeopardy, isolatedF580Jul 14, 2023

  Based on interview and record review the facility failed to immediately consult the physician when there was a significant change in the resident's physical and mental status (that is, a deterioration in health, mental, or psychosocial status in either life-threatening conditions or clinical complications) for 1 of 13 residents (Resident #4) whose records were reviewed for change in condition. 1. The facility failed to notify Resident #4's physician when Resident #4 had an increase in bruising while taking an anticoagulant medication (blood thinner that works by preventing red blood cells from forming clots), which indicated a change of condition and resulted in a delay of treatment. An Immediate Jeopardy (IJ) situation was identified on 07/13/23 at 9:30 AM. […]

• Immediate jeopardy, isolatedF684Jul 14, 2023

  Based on observations, interviews, and record reviews the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice for 1 of 13 (Resident #4) residents reviewed for quality of care. 1. The facility failed to intervene when Resident #4, who was taking an anticoagulant medication (blood thinner that works by preventing red blood cells from forming clots), had increased bruising, which indicated a change of condition. 2. The facility did not ensure LVN L, who was the treatment nurse, accurately performed weekly skin assessments. An Immediate Jeopardy (IJ) situation was identified on 07/13/23 at 9:30 AM. […]

• No harm, potential for more than minimal, patternF761Sep 10, 2025

  Based on observation and interview, the facility failed to ensure all drugs were stored in a locked compartment, only accessible by authorized personnel, and labeled and dated correctly for 1 of 5 medication carts (100-200 halls nurse's cart) and 3 of 8 residents (Residents #21, #11, and #39) reviewed for pharmacy services. 1. The facility failed to ensure RN D secured the 100-200 hall nurse's cart when she left it unattended on 09/09/25. 2. The facility failed to ensure RN D properly secured Resident #21's insulin pen when she left it on top of the 100-200 hall nurse's cart on 09/09/25. 3. The facility failed to ensure Resident #11 did not have wound cleanser in his bedside drawer. 4. […]

• No harm, potential for more than minimal, patternF804Sep 10, 2025

  Based on observations, interviews, and record review, the facility failed to provide food that was palatable, attractive, and at a safe and appetizing temperature for 1 of 23 (Resident #11) residents and 1 of 3 meals (lunch) reviewed for palatability. The facility failed to provide palatable food served at an appetizing temperature or taste to Resident #11, who complained the food was cold and not good. The dietary staff failed to provide food that was palatable for the lunch meal observed on 09/10/25. Findings included: Record review of Resident #11's face sheet dated 09/10/25 indicated he was a [AGE] year-old male who was admitted to the facility on [DATE] with the diagnoses of legal blindness, high blood pressure, malignant neoplasm of the prostate (prostate cancer), and depression. […]

• No harm, potential for more than minimal, patternF847Sep 10, 2025

  Based on record review and interview the facility failed to ensure the arbitration agreement was explained in a form and manner, including a language the resident or representative understood for 3 of 3 residents (Residents #56, #57, and #70) reviewed for arbitration agreements. The facility failed to ensure the binding arbitration agreement was fully understood and explained to Residents #57, #70, and #56's responsible party, prior to signing it as part of the admission packet. These failures could place the residents or the residents' responsible parties in binding agreements not fully understood, have a loss of their legal rights, and cause negative psychological issues. The findings included: 1. […]