Sunrise Terrace Nursing & Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF804Jul 9, 2025

  Based on observations, policy review, resident and staff interviews, the facility failed to maintain palatable food at minimum safe temperatures for 1 of 1 meals observed. The facility reported a census of 36 residents.Findings include:1. During an observation on 7/7/25 at 11:43 a.m., Staff A, [NAME] started to serve lunch. The meal included breaded fish, green beans, and french fries. During the service, the lights of the steam table were not illuminated. During an interview on 7/7/25 at 12:37 p.m., Staff A stated she completed serving the meal. The State Agency (SA) requested a test tray. With the Certified Dietary Manager present and with the use of a facility thermometer the following food temperatures were obtained: a. Breaded fish 132.5 degrees F (Fahrenheit). b. […]

• No harm, potential for more than minimal, isolatedF656Aug 26, 2026

  Based on record review, staff interviews, and the facility policy, the facility failed to address an antipsychotic on a resident's care plan for 1 of 5 residents reviewed for unnecessary medications (Resident #5). The facility reported a census of 36 residents. Findings include: Resident #5's Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #5 scored a score of 99, indicating severe cognitive impairment. The MDS indicated active diagnoses for severe vascular dementia (brain damage from impaired blood flow) with other behavioral disturbance, and anxiety disorder (excessive worry or fear). The MDS revealed Resident #5 took an antipsychotic on a routine basis. The Care Plan Focus revised 6/3/25 indicated Resident #5 had impaired cognition related to vascular dementia. […]

• No harm, potential for more than minimal, isolatedF689Aug 2, 2021

  Based on clinical record review, observation, resident and staff interviews, the facility failed to provide adequate supervision for 1 of 1 residents who eloped (Resident #1). The facility reported a census of 31 residents. Findings include: The Minimum Data Set (MDS) assessment dated [DATE] for Resident #1 documented diagnoses of dementia, depression, and anxiety. Resident #1 had short and long-term memory impairment and walked independently without the use of mobility devices. The resident had not wandered during the 7-day look-back period and used a wander/elopement alarm daily. The Care Plan identified wandering as a focus area on 12/31/18 with interventions: a. Resident to wear a Wanderguard (a type of wander alarm), which is checked for placement and functioning, to ensure safety. […]