Sunrise Nursing & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Sunrise Nursing & Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600May 1, 2023

  Based on observation, interview, and record review, the facility failed to ensure one sampled resident (Resident #2) of eight sampled residents, was free from resident-to-resident abuse. On 4/20/23 Resident #1 struck Resident #2 on the top of the head with a trophy resulting in Resident #2 receiving a dime-sized raised area. On 4/25/23, Resident #1 struck Resident #2 twice on the top of his/her head with a rock placed inside of a sock, resulting in Resident #2 receiving a laceration to the top of the head that required two staples. The facility census was 101 residents. The Administrator was notified on 4/28/23 at 1:40 P.M., of the Immediate Jeopardy (IJ), which began on 4/25/23. […]

• Immediate jeopardy, isolatedF684Jan 4, 2022

  Based on observation, interview, and record review, the facility failed to transcribe physician's orders and implement those orders, accurately assess, document, and provide prescribed treatments to the resident's wounds, resulting in the resident developing worsening wounds requiring amputation for one closed record resident (Resident #6). The facility also failed to accurately assess, document and provide prescribed treatments to the wounds of two sampled residents (Residents #7 and #8) out of 14 sampled residents and 5 closed records. The facility census was 100 residents. The Administrator was notified on 12/30/21 at 2:20 P.M. of an Immediate Jeopardy (IJ) which began on 12/10/21. […]

• Actual harm, isolatedF689Apr 11, 2024

  Based on observation, interview and record review, the facility failed to transfer one sampled resident (Resident #2) safely by failing to use a full body mechanical lift or a gait belt to transfer the resident safely from the shower chair to his/her bed, resulting in a hospitalization , left knee swelling,use of a knee brace and increased pain with movement out of five sampled residents. The facility census was 127 residents. A policy was requested and no policy was received by the facility. 1. […]

• Actual harm, isolatedF744Jan 19, 2022

  Based on interview and record review, the facility failed to ensure one sampled resident (Resident #1) out of five sampled residents with known behaviors had appropriate individualized interventions in place to ensure his/her safety. On [DATE] another facility resident (Resident #2) hit Resident #1 in the face repeatedly with a coffee mug and caused a laceration that required stitches and this was the second incident between these residents. The facility census was 90 residents. Record review of the facility's undated Abuse, Neglect and Exploitation policy showed: -The policy of the facility was to provide protection for the health, welfare and rights of each resident. […]

• No harm, potential for more than minimal, widespreadF761Jun 26, 2025

  Based on observation, interview, and record review, the facility failed to ensure appropriate storage and labeling of medications throughout the facility's medication carts and medication rooms which had the potential to affect all residents within the facility; and failed to ensure medications were stored in the medication cart/medication room for one resident (Resident #58) observed during the medication pass. The facility census was 134 residents. Review of the facility's policy titled Storage of Medications dated August 2020 showed: -Medications and biologicals were stored safely, securely, and properly, following manufacturer's recommendations or those of the supplier. -All medications dispensed by the pharmacy were stored in the pharmacy container with the pharmacy label. […]