Sunrise Post Acute

In the surveyor’s words

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

• Immediate jeopardy, widespreadF812Nov 4, 2021

  Based on observation, interview, and record review, the facility failed to ensure a safe, sanitary food preparation and storage practices in the kitchen, for 51 of 53 residents receiving an oral diet, when the ice machine's evaporator (where ice was formed) was noted to have brown residue build-up, and the ice chute had slimy yellowish-brown residue build-up. In addition, the facility was not monitoring the cleanliness of the ice machine. These failures had the potential to cause food-borne illness in a highly susceptible population of 51 out of 53 residents who were on an oral diet. […]

• Immediate jeopardy, patternF584Aug 8, 2024

  Based on observation, interview and record review, the facility failed to ensure a comfortable environment was provided, for eight of eight residents (Residents 40, 36, 28, 15, 17, 32, 48, and 53), when the temperature in the resident's rooms were above 81 degrees Fahrenheit. On August 5, 2024, at 7:51 p.m., the Administrator (ADM), the Director of Nursing (DON), and the Director of Staff Development (DSD), were verbally notified of the Immediate Jeopardy (IJ-situation in which the provider's noncompliance with one or more requirements of participation has caused or likely to cause serious injury, harm, impairment, or death, to a resident), due to the facility's failure to provide a comfortable environment for eight residents (Residents 40, 36, 28, 15, 17, 32, 48, and 53) when the… […]

• Immediate jeopardy, isolatedF600May 14, 2025

  Based on interview and record review, the facility failed for one of two sampled residents (Resident 2), to protect the resident ' s rights to be free from physical abuse by a resident, when a resident (Resident 1), diagnosed with dementia, and anxiety with no identified behavioral triggers, was moved rooms multiple times due to intolerance to noise without assessing the resident ' s individual needs. The failure of the facility in assessing resident ' s need for appropriate room placement resulted in Resident 1 assaulting Resident 2 who exhibited frequent moaning, mumbling, and yelling. […]

• Actual harm, isolatedF657May 14, 2025

  Based on interview and record review, the facility failed to review and revise the care plan (a document that outlines a patient's current health status, diagnoses, treatment goals, and interventions) to address the potential risk for physical agression related to the resident's preference for a quiet environment for one of two sampled residents (Resident 1). This failure resulted in Resident 1 being placed in a room with a resident (Resident 2), who exhibits behaviors of moaning and yelling, which subsequently resulted in Resident 1 assaulting Resident 2, with Resident 2 sustaining lacerations, extensive facial fractures, rib fractures and vertebra fracture. Resident 2 was transferred to the general acute care hospital (GACH), where the resident expired. […]

• No harm, potential for more than minimal, widespreadF838Sep 11, 2025

  Based on interview and record review, the facility failed to ensure the facility assessment was reviewed and updated annually and as needed.This failure resulted in an inaccurate evaluation of the facility's population and resources needed to provide the necessary care and services for the residents.Findings:On September 11, 2025, at 4:03 p.m., a concurrent interview and record review was conducted with the Administrator (ADM). The ADM stated he was responsible for conducting the facility assessment. The ADM stated the last facility assessment was on July 24, 2024. The ADM stated the facility assessment should have been done annually. […]