Sunnyside Presbyterian Retirement Community

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF758May 20, 2021

  Based on clinical record review, staff interview and facility document review, the facility staff failed to ensure two of 20 residents in the survey sample were free from unnecessary [CONDITION(S)] medications, Resident # 30 and #65. Resident #30 had physician orders for as needed (PRN) Lorazepam that extended for more than 14 days without a stop date. Resident #65 had physician orders for as needed (PRN) [MEDICATION(S)] that extended for more than 14 days without a stop date. The findings include: Resident #30 was originally admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses that included [CONDITION(S)], hospice encounter, anxiety, depression, neuromuscular dysfunction bladder, and right arm/humerus fracture. […]

• No harm, potential for more than minimal, isolatedF773Mar 26, 2026

  Based on staff interview, clinical record review, and facility document review, the facility failed to obtain a medical provider ordered lab test for (1) one of (23) twenty-three sampled residents, Resident #47. The findings included: For resident #47 the facility failed to obtain a complete blood count (CBC), a comprehensive metabolic panel (CMP) and a lipoprotein (LP) level ordered by the medical provider on 12/2/2025.Resident #47's diagnoses included but were not limited to Parkinson's, dementia, high, cholesterol, hypertension and malnutrition.According to the annual minimum data set (MDS) assessment with an assessment reference date of 1/13/26 resident #47 was assigned a brief interview for mental status score of 8 out 15 indicating moderate cognitive impairment.During a review of the… […]

• No harm, potential for more than minimal, isolatedF607Feb 9, 2023

  Based on staff interview, employee record review, and facility document review, the facility staff failed to ensure that professional licenses were current for one of 25 employee files reviewed. CNA (certified nursing assistant) #1's license expired in [DATE]. Findings were: As part of the survey process, a list of new hires was requested. Twenty-five employee files were randomly chosen for review. On [DATE] at approximately 1:00 p.m., the Senior Human Resources Business Partner (Other staff #1) brought the selected files for review. Other staff (OS) #1 stated, Here are the files you requested. I'm just going to tell you one of the staff that you picked has an expired license. When asked if the expired license had been verified through the state website, OS #1 stated, Yes. […]

• No harm, potential for more than minimal, isolatedF645Feb 9, 2023

  Based on staff interview, clinical record review, and facility document review, the facility staff failed to ensure that a Level I PASRR (preadmission screening and resident review) was completed for one of 18 residents (Resident #49). Findings include: Resident #49 did not have a PASRR completed upon admission. Diagnoses for Resident #49 included; Dementia, anxiety, abnormal posture, major depression, and osteoarthritis. The most current MDS (minimum data set) was an annual assessment with an ARD (assessment reference date) of 11/29/22. Resident #49 was assessed with short and long-term memory problems with moderately impaired cognition. During the LTCSP [long term care survey process] on 2/7/23, the review for Resident #49 triggered for No PASRR level II with a diagnosis. […]

• No harm, potential for more than minimal, isolatedF657May 20, 2021

  Based on observation, resident interview, staff interview and clinical record review, the facility staff failed to revise the comprehensive care plan for one of twenty residents in the survey sample. Resident #65's care plan was not updated regarding care of extensive bruising a fall. The findings include: Resident #65 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The minimum data set (MDS) dated [DATE] assessed Resident #65 with moderately impaired cognitive skills. On 5/19/21 at 8:38 a.m., Resident #65 was observed in bed. The resident had black/dark purple bruising extending from the right elbow area along the underside of her right forearm down to her wrist. There was a white gauze dressing on the right elbow. […]