Sunset Home

In the surveyor’s words

From the most serious findings on record at Sunset Home, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Mar 26, 2025

  Based on observation, interview, and record review, the facility failed to ensure the residents environment remained as free of accident hazards as is possible and ensured each resident received adequate supervision for one (Resident #1) of four residents reviewed for accidents and hazards. The facility failed to ensure Resident #1 was free from accidents. Resident #1 eloped from the facility on 3/20/25, was able to obtain access to a truck at a private residence near the facility. Resident #1 was involved in an accident and was transported to theER on [DATE]. The facility failed to ensure Resident #1 checked out when leaving the facility and was monitored to ensure he returned. […]

• Actual harm, isolatedF689Aug 18, 2022

  Based on observation, interview, record review, the facility failed to ensure that residents were free from accidents for 1 of 3 residents (Resident #1) reviewed for accident, hazards, and supervision. The facility failed to adequately supervise Resident # 1 while being transferred with a mechanical lift device which resulted in an injury on 7/29/2022. This failure could place residents at risk of injuries, hospitalization , pain and decreased quality of life. Findings include: Review of Resident #1's face sheet reflected a [AGE] year-old female admitted to the facility on [DATE] with diagnoses: Traumatic Brain Injury, Lack of Coordination, Muscle Weakness, Dementia (brain function disorder), [CONDITION(S)] (muscle weakness or paralysis on one side of the body), Paralytic Syndrome (loss… […]

• No harm, potential for more than minimal, widespreadF812May 29, 2025

  Based on observation, interviews, and record reviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for one of one kitchen reviewed for sanitation. The facility failed to dispose of perishable foods in the dry storage pantry and walk in fridge. These failures could place residents at risk for consuming hazardous expired food and developing foodborne illnesses who received food from the kitchen. Findings Included: Observation in the kitchen on 05/27/25 at 9:36 am revealed a bag of white bread with the use by date of 02/26/25. […]

• No harm, potential for more than minimal, widespreadF812Apr 11, 2024

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for dietary services. The facility failed to properly seal, label, and date food products in dry storage and the walk-in freezer. These failures placed residents at risk of exposure food contamination and food-borne illness. Findings included: Observation on 4/9/2024 at 9:00 AM in the kitchen's dry storage room reflected 6 individual 6-pound cans of pineapple with dented sides and dented seams. […]

• No harm, potential for more than minimal, widespreadF812Nov 22, 2023

  Based on observations, interviews, and record reviews the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for one of one kitchen reviewed for kitchen sanitation The facility failed to ensure food was stored properly in the walk-in freezer and walk-in refrigerator. There was food that had been expired and food that had not been labled or dated. The deficient practice placed residents who were served from the kitchen at risk for health complications and foodborne illnesses. Findings include: Observations on [DATE] at 9:20 am of poster titled FIRST IN FIRST OUT posted on the outside of the walk in refrigerator informing the staff to label food the day food was received and when it should be used. […]