Sunny View Care Center

In the surveyor’s words

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

• Actual harm, isolatedF760Apr 30, 2026

  Based on clinical record review, staff interview and facility policy review, the facility failed to ensure the 5 rights of medication administration were followed resulting in 1 of 1 residents receiving another resident's medications (Resident #6) in addition to the resident's own medication which required an admission to the hospital due to sinus bradycardia (resting heart rate that is slower than normal) requiring further hemodynamic (blood flow movement and circulation through the heart and blood vessels) monitoring. The facility reported a census of 92 residents.Findings include: Review of Resident #6's census in the Electronic Health Record (EHR) revealed the resident was hospitalized [DATE] to 3/23/26. […]

• Actual harm, isolatedF689Sep 30, 2021

  Based on clinical record review, staff and resident interviews, and facility policy review, the facility failed to provide adequate supervision to prevent falls and provide a safe environment for two of five residents (Residents #40 and #79) reviewed for falls. The facility reported a census of 71 residents. Findings include: 1. The Minimum Data Set (MDS) assessment dated [DATE] for Resident #79 recorded diagnoses that included arthritis, Non-Alzheimer's dementia, anxiety disorder and a history of COVID 19. The MDS documented the resident had severely impaired memory and cognition and was totally dependent on two staff for bed mobility and transfers. The MDS also recorded she fell twice and sustained non-major injuries since the prior assessment. […]

• No harm, potential for more than minimal, patternF908Jul 2, 2025

  Based on observations, interviews, and record review, the facility failed to maintain mechanical and electrical patient care equipment in safe operating condition for 5 out of 5 residents reviewed (Residents #1, #7, #10, #11, and #12). Resident's #1 and #12 had care delayed related to batteries not working in stand lifts. Resident #7's bed would raise but not lower (beds in low position are a standard of safety). During separate observations of Residents #10 and #11 it was observed that 1 of the 4 wheels on the mechanical lift used to transfer the residents came off of the ground during the transfer. The facility reported a census of 86 residents. Findings include: 1. […]

• No harm, potential for more than minimal, patternF677Jun 5, 2024

  Based on observation, clinical record review, a photograph and facility policy review, the facility failed to properly provide perineal cares for 2 of 3 residents reviewed (Resident #2 and #3 ). The facility identified a census of 88 residents. Findings include: 1. Resident #2's Minimum Data Set (MDS) assessment dated [DATE] identified Brief Interview for Mental Status (BIMS) score of 8, indicating moderately impaired cognition. Resident #2 required substantial/maximal assistance with toilet use, personal hygiene, and ambulation. The listed Resident #2 as frequently incontinent of bowel and bladder. […]

• No harm, potential for more than minimal, patternF725Jun 5, 2024

  Based on family interview, resident interview, staff interview, Ombudsman email, Resident Council Minutes, and facility policy review the facility failed to answer resident call lights within 15 minutes for 2 of 3 residents reviewed (Residents #2 and #5). The facility identified a census of 88 residents. Findings include: 1. Resident #2's Minimum Data Set (MDS) assessment dated [DATE] identified Brief Interview for Mental Status (BIMS) score of 8, indicating moderately impaired cognition. Resident #2 required substantial/maximal assistance with toilet use, personal hygiene, and ambulation. The listed Resident #2 as frequently incontinent of bowel and bladder. […]