Sunnyside Nursing Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF684Sep 10, 2025

  Based on interview and record review, the facility failed to ensure one of three sampled residents (Resident 10), who was admitted to the facility from a General Acute Care Hospital (GACH) on [DATE], was not administered Baclofen (a medication that relaxes the muscles to relieve spasm, tightness, and cramps) due to a known side effect of confusion, when: 1. Registered Nurse (RN) 1 did not review Resident 10's entire Discharge Instructions dated [DATE] and [DATE] for accuracy, prior to transcribing the orders in Resident 10's chart. 2. […]

• Immediate jeopardy, isolatedF689May 9, 2025

  Based on observation, interview, and record review, the facility failed to ensure the facility's Rehabilitation (Rehab) room equipment was not readily accessible for unauthorized use by residents and/or visitors or used as a weapon to hit for one of four sampled residents (Resident 1). The facility failed to: 1. Ensure the Rehab room and equipment located in the Rehab room was secured and supervised at all times to prevent unauthorized access by residents and/or visitors. 2. Ensure Resident 1 did not gain access to a Dowel (a pole or rod used in rehabilitation to improve shoulder mobility and strength) from the facility's Rehab room without staff knowledge. 3. Ensure Resident 1 did not use a Dowel to physically assault Resident 2 and Resident 3. 4. […]

• Immediate jeopardy, isolatedF689Nov 6, 2024

  Based on interview, and record review, the facility failed to ensure a resident, who was assessed at risk for wandering (moving around inside the facility without awareness of personal safety, potentially putting themselves in harm's way), did not elope (the act of leaving a facility unsupervised and without prior authorization) from the facility for one of nine sampled residents (Resident 1). The facility failed to: 1. Have a system in place to supervise and monitor Resident 1's whereabouts to prevent him from eloping from the facility. 2. Develop a care plan with interventions addressing Resident 1's risk for wandering, to ensure the resident's safety, and prevent him from eloping from the facility. 3. […]

• Actual harm, isolatedF686Aug 17, 2026

  Based on interview, and record review, the facility failed to ensure a Private Caregiver (PC) hired by the family to provide companionship and assist in the care for one of three sampled residents (Resident 1), did not act as Resident 1's primary caregiver, by bathing, transferring, providing incontinent care (hygiene support given to people who cannot control their bladder or bowel movements), skin assessment, and turning and repositioning Resident 1. The PC was with Resident 1 approximately 10 hours daily and provided the majority of Resident 1's care. […]

• Actual harm, isolatedF686Jun 20, 2025

  Based on interview and record review, the facility failed to prevent an avoidable, facility acquired, unstageable (when the stage is not clear, the base of the wound is covered by a layer of dead tissue that may be yellow, grey, green, brown, or black) pressure injury (damage to the skin and underlying structures caused by unrelieved pressure) for one of three sampled residents (Resident 1) by: 1. Failing to reposition Resident 1 every two hours as per physician's orders. 2. Failing to implement its Policy and Procedure (P&P) titled, Wound Care Suggestions and Documentation, dated 2/2025 which indicated Residents who were unable to turn independently would be turned and repositioned every two hours and would be checked for incontinence (loss of voluntary control of bowel and bladder… […]