Sunshine Health & Rehab

In the surveyor’s words

From the most serious findings on record at Sunshine Health & Rehab, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Jan 13, 2021

  Based on observation, interview, and record review, the facility failed to effectively implement actions to contain the spread of COVID-19, a highly contagious virus, by: 1). Failure to cohort residents appropriately (placing residents who tested positive for COVID-19 on a separate unit during infectious outbreaks), in order to prevent transmission to residents without COVID-19; 2). Failure to change personal protective equipment (PPE) (protective clothing - including gown, gloves, and goggles, used to protect the wearer and reduce the risk of spreading infectious pathogens) between residents; and 3). Failure to ensure a communicable disease/outbreak was reported to the State Survey Agency, as required. […]

• No harm, potential for more than minimal, widespreadF620Oct 29, 2024

  Based on interview and record review the facility failed to not request or require residents to waive their rights to retain personal property including items of value to admit to the facility for 4 of 4 sampled residents (Resident 23, 76, 184, and 185), reviewed for resident rights. This failure placed all residents at risk of inability to exercise their resident rights, unmet needs, and diminished quality of life. Findings included . Review of the facility policy titled, Resident Rights revised February 2018, showed residents had the right to keep and use their personal belongings and property as long as it did not interfere with the rights, health, or safety of others. The facility was to protect resident property from theft. […]

• No harm, potential for more than minimal, widespreadF880Oct 29, 2024

  Based on observation, interview, and record review the facility failed to review policies and/or procedures yearly as required, perform hand hygiene when indicated, and store soiled laundry in a manner to prevent the spread of infection. In addition, the facility failed to implement, follow, and discontinue transmission-based precautions when indicated for 2 of 3 sampled residents (Resident 23 and 135), reviewed for infection control. This failure placed all residents, staff, and visitors at risk of development of a multi-drug-resistant organisms (MDRO), communicable diseases, and diminished quality of life Findings included . POLICIES Review of the facility policy titled, Vaccination of Residents, showed the policy was revised November 2012. […]

• No harm, potential for more than minimal, widespreadF882Oct 29, 2024

  Based on interview and record review, the facility failed to ensure the designated Infection Preventionist met the qualifications for experience, education, training and/or certification for the role to assume responsibility of the facility's Infection Prevention and Control Program for 1 of 1 sampled staff (Staff C), reviewed for infection preventionist qualifications. This failure placed all residents, staff, and visitors at risk of contracting communicable diseases, unmet infection control issues, and lack of oversite of the facility staff's infection control practices. Findings included . In an interview on 10/21/2024 at 9:03 AM, Staff A, Administrator, stated Staff C was the facility's infection preventionist. […]

• No harm, potential for more than minimal, patternF585Jan 30, 2026

  Based on observation, interview and record review the facility failed to ensure that residents, families and visitors had access to grievance forms if they wanted to file a grievance anonymously. The facility also failed to ensure residents knew the process for filing grievances for 4 of 4 residents (Resident's 61,15, 66 and 51) reviewed for the grievance process in Resident Council. Additionally, staff were unaware of the location of grievance forms in the event a resident, family member or visitor requested a form. […]