Sunnyside Manor

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Sep 12, 2025

  Based on observation, interview and document review, it was determined that the facility failed to maintain the kitchen environment and equipment in a clean and sanitary manner prevent contamination from foreign substances and potential for the development of foodborne illness. This deficient practice was evidenced by the following: On 09/09/2025 at 8:33 AM, the surveyor conducted a tour of the kitchen with the Food Service Director (FSD) and observed the following: The large ice machine was observed with with visibly blackened areas on the exterior of the baffle (the component that directs the flow of ice into the storage bin). The FSD removed the baffle which exposed various blackened mold like in appearance areas inside of the ice machine. […]

• No harm, potential for more than minimal, patternF692Sep 12, 2025

  Based on observation, interview and record review it was determined that the facility failed to ensure: a) a timely nutritional assessment was completed after admission, b) identified nutrition interventions were implemented, and c) nutritional interventions were revised for a resident who experienced a significant weight loss. This deficient practice was identified for 1 of 2 residents reviewed for nutrition (Resident #4) and who was identified as being at nutritional risk, and at risk for pressure ulcers and was evidenced by the following:On 09/09/2025 at 12:44 PM, the surveyor observed Resident #4 in the living room on the main floor and was sitting in a wheeled recliner. Resident #4 was watching television with other residents. […]

• No harm, potential for more than minimal, isolatedF695Sep 12, 2025

  Based on observation, interview, and record review, it was determined that the facility failed to adhere to accepted standards of infection control practices for the proper storage of respiratory tubing and mask after use for 1 of 2 residents reviewed (Resident # 35). The deficient practice was evidenced by the following: On 9/09/25 at 10:21 AM, the surveyor observed Resident #35 seated in a recliner chair in the room. Resident #35 had a Nebulizer machine and a Nebulizer mask (used for breathing treatments) with white stains and was directly placed on top of the nightstand. […]

• No harm, potential for more than minimal, isolatedF640May 16, 2024

  Based on interviews and review of medical records it was determined that the facility failed to complete and electronically transmit the Minimum Data Set (MDS, an assessment tool), within 14 days of the resident's discharge. This deficient practice was identified for 1 of 1 resident, (Resident # 27) reviewed in the Resident Assessment Task for MDS record over 120 days old. On 05/08/2024 the surveyor reviewed the MDS history in the electronic medical record which revealed: Resident #27 was discharged on [DATE]. The surveyor was unable to locate a discharge MDS in Resident #27's electronic medical record. On 05/09/2024, the surveyor interviewed the MDS Coordinator (MDSC), who stated that the discharge MDS on Resident #27 should've been completed within 14 days of discharge date . […]

• No harm, potential for more than minimal, isolatedF697May 16, 2024

  Based on observation, interview, record review and review of pertinent facility documents it was determined that the facility failed to treat a resident's pain to the extent possible in accordance to current professional standards of practice. The deficient practice was identified for 1 of 2 residents (Resident # 38) investigated for Pain. The deficient practice was evidenced by the following: A review of Resident # 38's Significant Change Minimum Data Set (MDS; an assessment tool) dated 05/08/2024 revealed under section J. that he/she received as needed and scheduled medications for pain. […]