Sunset Nursing and Rehabilitation Center, Inc

In the surveyor’s words

From the most serious findings on record at Sunset Nursing and Rehabilitation Center, Inc, in the surveyor’s own words.

• Immediate jeopardy, patternF600Nov 12, 2025

  The facility policy Resident Rights and Responsibilities, dated 01/13/2025, documented the facility services provided to the resident demonstrated the belief in dignity and worth of every individual. The facility provided the resident with optimal nursing and psychosocial care. Every effort is made by the staff to meet the resident's individual needs and requirements. The facility policy Facility Incident/Abuse Investigation and Reporting, dated 09/2025, documented personnel must report any resident incident or suspected incident immediately to the Supervisor/Administrator. The facility would investigate instances of alleged resident abuse to ensure the physical and mental well-being of the resident. […]

• Immediate jeopardy, patternF609Nov 12, 2025

  Based on record review and interviews during the abbreviated (#2639795) survey, the facility failed to ensure allegations of abuse, are reported immediately, but not later than two (2) hours after the allegation is made, to the Administrator of the facility and the New York State Department of Health in accordance with State law for three (3) of three (3) incidents of alleged abuse (10/05/2025, 10/09/2025 and 10/23/2025) involving Resident #1. Specifically, Resident #1 was witnessed engaging in sexually inappropriate behavior with Residents #3 and #4 who did not have capacity to consent on 10/05/2025, 10/09/2025, and 10/23/2025 and the incidents were not reported by the facility to the New York State Department of Health or local law enforcement. […]

• Immediate jeopardy, patternF610Nov 12, 2025

  Based on record review and interviews during the abbreviated (#2639795) survey, the facility failed to ensure all alleged violations involving abuse, neglect, or mistreatment were thoroughly investigated for three (3) of eight (8) residents reviewed (Residents #1, #3, and #4). Specifically, on 10/05/2025, 10/09/2025, and 10/23/2025, Resident #1 was witnessed by visitors and/or staff engaging in sexually inappropriate behavior with Residents #3 and #4, who did not have capacity to consent. There was no documented evidence the incidents were thoroughly investigated to determine abuse and to protect residents from further abuse during the investigation. […]

• Immediate jeopardy, isolatedF689Aug 10, 2026

  Based on record review, and interviews, the facility failed to ensure that each resident received adequate supervision to prevent accidents for one of two residents (Resident #78) reviewed. Specifically, Resident #78 who had a history of elopement and wore a wander alarm device left the facility undetected on 07/25/2025. This resulted in Immediate Jeopardy and Substandard Quality of Care for Resident #78 and placed residents with risk for elopement at risk for serious harm, serious injury, serious impairment, or death. Findings include: The facility policy titled Missing Resident Elopement Dr. Walker, revised September 2023 documented if a resident left the premises without facility knowledge and supervision it was considered an elopement. […]

• Immediate jeopardy, isolatedF689Jul 21, 2021

  Based on observation, record review and interview during the recertification and extended surveys conducted from 7/13/21- 7/21/21, the facility failed to ensure the environment remained as free of accident hazards as possible and that each resident received adequate supervision and assistance devices to prevent accidents for 2 of 2 residents (Residents #28 and #22) reviewed. Specifically, Resident #28 was observed in their room with a peanut can that contained 8 cigarette butts with ashes. Resident #28 reported that after smoking the resident would routinely bring the peanut can with cigarette butts and ashes into the facility and empty the contents into a plastic trash can in the unit kitchenette across from their room. […]