Sunset Park Healthcare

In the surveyor’s words

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

• Actual harm, isolatedF689Oct 5, 2023

  Based on interview and record review, for one of three sampled residents (Resident 1), the facility failed to ensure facility staff provided 1:1 monitoring and supervision to prevent repeated falls for Resident 1 in accordance with the facility ' s policy and procedures titled, Falls and Fall Risk, Managing, dated, 3/2018. The facility identified Resident 1 as a high risk for falls. As a result, on 10/1/2023-Resident 1 fell out of his wheelchair (WC) while sitting in the lobby of the facility and suffered a laceration (a deep cut or tear in the skin) and bleeding above the right eyebrow. […]

• No harm, potential for more than minimal, widespreadF804Aug 13, 2026

  Based on observation, interview, and record review, the facility failed to ensure the kitchen prepared food that conserves nutritive value, is palatable, and at an appetizing temperature according to the facility's policy and procedures (P&P) titled, Food and Nutrition Services, last reviewed 3/2026, and, Food Preparation and Service, last reviewed 3/2026 when:1. The curry lemon chicken served for lunch on 8/11/2026 was dry and not at an appetizing temperature.2. The green peas with onions served for lunch on 8/11/2026 was overcooked, of a brownish, yellowish color, and not at an appetizing temperature. […]

• No harm, potential for more than minimal, widespreadF812Aug 13, 2026

  Based on observation, interview, and record review, the facility failed to ensure proper sanitation and food handling practices were upheld in the kitchen according to the facility's policy and procedures (P&P) titled, Refrigerators and Freezers, last reviewed 5/2026, Sanitization, last reviewed 5/2026, and, Food Preparation and Service, last reviewed 3/2026, when:1. A bag of brussels sprouts was stored in Reach-in Freezer (RF) 1 without a label to indicate the received date.2. The paint of the top metal rack in RF 1 was chipped, exposing the gray metal part of the rack. 3. A jar of mayonnaise was stored in Reach-in Refrigerator (RR) 1 was labeled with the incorrect use-by date.4. The thermometer in RF 2 was physically broken and could not accurately record temperatures in RF 2.5. […]

• No harm, potential for more than minimal, widespreadF727Aug 30, 2022

  Based on observation, interview and record review, the facility failed to ensure that a Director of Nursing (DON) works onsite for at least 8 consecutive hours a day, 7 days a week on 7/18/2022 until 8/3/2022. This deficient practice had the potential for facility ' s inability to manage and oversee nursing services provided to the residents. Findings: An unannounced visit was made to the facility on [DATE]. During an observation of the facility on 8/3/2022 at 11:45 a.m., there was no DON onsite. During an interview with Registered Nurse 1 (RN 1) on 8/3/2022 at 3:47 p.m., RN 1 stated the facility does not have any DON at this time and it ' s been more than two weeks since the last DON resigned. […]

• No harm, potential for more than minimal, patternF803Aug 13, 2026

  Based on observation, interview, and record review, the facility failed to ensure [NAME] (CK) 1 followed the diet menu and recipe instructions when preparing taco casserole (a baked dish that layers traditional taco ingredients into a single pan and is baked until hot) with a texture-modification of soft and bite-sized (SBS, a modified food texture where meals are tender, moist, and cut into small pieces measuring 1.5 centimeters (cm, a unit of measuring length) by 1.5 cm for adults) for according to the facility's recipe titled, Taco Casserole, dated 2026 and to the facility's policy and procedures (P&P) titled, Standardized Recipes, last reviewed 5/2026. CK 1 added three scoops of melted margarine to the tray of taco casserole, which was not indicated by the recipe. […]