Sunrise Hill Care Center

In the surveyor’s words

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

• Actual harm, isolatedF689Apr 4, 2024

  Based on observations, interviews, and record review, the facility failed to provide safety interventions required for 2 out of 4 residents reviewed (Residents #1 and #2). Resident #2 required assist of 1 staff with a gait belt (a belt placed around the waist to aide in safe transfers and ambulation) for transfers and ambulation. A Certified Nurse Assistant (CNA) let go of the gait belt resulting in Resident #2 falling and fracturing her hip. Resident #1 was to not be left unattended in his room unless he was in bed. Resident #1 was found on floor unattended at least twice in his room. The facility reported a census of 47 residents. Findings include: 1. […]

• Actual harm, isolatedF689Apr 10, 2023

  Based on facility and Hospital records review, staff interviews and facility policy review, the facility failed to provide adequate supervision for residents to avoid falls with injuries to occur for 2 out of 3 residents reviewed for falls (Resident #1 and #2). Staff A, Certified Nurse Aide (CNA), let go of Resident #1's gait belt, which resulted in Resident #1 tripping over her walker, falling, and sustaining a fractured hip. Staff B, CNA, stepped out of Resident #2's room to grab an EZ Stand Lift (transferring device) and did not lower Resident #2's bed, which resulted in Resident #2 falling out of a bed that was not in it's lowest position, thus resulting in a fractured leg and rib/s for the resident. The facility reported a census of 53. Findings Include: 1. […]

• Actual harm, isolatedF689Oct 21, 2021

  Based on observation, clinical record review, and interview, the facility failed to provide adequate supervision and assistance devices to prevent accidents for 3 of 4 residents reviewed (Resident #1, #2, #3). On 5/20/21, Staff J, Certified Nursing Assistant (CNA) walked with the resident toward the bed without using a gait belt around the resident's waist in accordance with facility policy. As Staff J pulled back the covers on the bed, the resident stumbled backward, fell into a cabinet, and slid to the floor. On 5/22/21, Resident #1 could not bear weight on the right leg and exhibited facial grimacing, and staff sent Resident #1 to the emergency room (ER). The resident subsequently admitted to the hospital with a right [CONDITION(S)]. […]

• No harm, potential for more than minimal, patternF880Oct 21, 2021

  Based on observation, staff interview, and policy review, the facility failed to ensure the staff used acceptable infection control standards of practices to protect from potential infection by not performing hand hygiene between resident contact and after resident care, and failed to comply with current infection control standards for proper use of eye protection. The facility reported a census of 48 residents. Findings include: 1. In an observation on 10/12/21 at 11:25 AM, Staff A, Certified Nurse's Aide (CNA), removed a resident's facemask and placed the facemask on the handle of the resident's wheelchair. Staff A, CNA, without performing hand hygiene, proceeded to remove 2 more residents' facemasks and place them on the handles of the residents' wheelchairs. […]

• No harm, potential for more than minimal, isolatedF607Dec 4, 2025

  Based on personnel record review, policy review, and staff interview, the facility failed to implement their abuse policy when the facility failed to complete the required Abuse and Criminal History check within the required 30 days of hire date for 1 of 5 staff reviewed (Staff A, Dietary). The facility reported a census of 53 residents. Findings include: Staff A's personnel record review listed a hire date of 4/14/25. The record review included the Single Contact License and Background Check (SING) with a completion date of 1/31/25. […]