Sunrise Health Services

In the surveyor’s words

From the most serious findings on record at Sunrise Health Services, in the surveyor’s own words.

• Immediate jeopardy, isolatedF686Mar 19, 2025

  Based on observation, interview, and record review, the facility did not ensure that residents with a pressure injury or at risk for pressure injuries received necessary treatment and services, consistent with professional standards of practice, to prevent the development of pressure injuries and to promote healing for 1 (R2) of 1 resident reviewed for pressure injuries. * R2 was admitted to the facility 1/20/25 without any pressure injuries. Upon admission R2 was identified as being at high risk for pressure injury development. The facility did not develop a potential for skin integrity care plan and R2's care plans do not address repositioning or offloading R2's feet/heels. […]

• Immediate jeopardy, isolatedF689May 1, 2024

  Based on observation, interview, and record review, the facility did not ensure 1(R2) of 1 Resident was as free of accident hazards as is possible and that R2 received adequate supervision and assistance devices to prevent accidents, resulting in a fall from bed *On [DATE] at approximately 1:07 PM, R2 was found on the floor next to R2's bed on the right side unresponsive and with no pulse. The medical examiner's (ME) preliminary autopsy report dated [DATE] documents that R2 suffered possible positional asphyxia, small epidural hemorrhage of spinal cord and hemorrhage of posterior right neck soft tissue which resulted in R2's death. The report documents that R2 was found lying prone on the floor of R2's room upon first observation of the ME. […]

• Immediate jeopardy, isolatedF744May 1, 2024

  Based on interview and record review the Facility did not provide appropriate treatment and services for 1 (R1) of 1 resident with a diagnosis of dementia with behavioral symptoms to allow them to attain or maintain his or her highest practicable physical, mental, and psychosocial well-being. R1 has a diagnosis of Alzheimer's Disease and dementia. The December 2023, January 2024, February 2024, & March 2024 MAR (medication administration record) for daily behavior monitoring per shift does not document any behavior. On 4/4/24 R1's behaviors began & escalated. […]

• Immediate jeopardy, isolatedF686Apr 22, 2021

  Based on interview and record review, the Facility did not provide the necessary care and services to prevent development of pressure injuries and promote healing of pressure injuries for 1 (R12) of 2 sampled Residents. R12 had a history of [MEDICAL RECORD OR PHYSICIAN ORDER] . On 3/16/21 wounds were identified on R12 by a Licensed Practical Nurse (LPN) who found bruising on her back, an opened blister and a blister on her right anterior ankle. There was no RN assessment of the wounds, no measurements, and no updates to the resident's care plan. There was a message left for the MD but no documentation of the MD being notified. A treatment was not put in place until 3/19/21. […]

• Immediate jeopardy, isolatedF692Apr 22, 2021

  Based on record review and interview, the facility failed to maintain acceptable parameters of nutritional status, such as usual body weight and desirable body weight range, and failed to maintain proper parameters of hydration, such as electrolyte balance, for 1 (R12) of 2 residents reviewed for nutritional status. On 3/16/20 R12 was discharged from another facility. Her weight on discharge was 154 lbs. On admission to this facility her weight was recorded as 156 lbs. From March through November 2020 this facility recorded her weight each month in the 155-158 lb. range. On 12/24/20 the resident was weighed at 107 lbs. […]