Sunview Respiratory and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Sunview Respiratory and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Apr 3, 2026

  Based on interviews, review of clinical record, and review of facility policy and procedure, the facility failed to protect the resident's (#444) right to be free from sexual abuse by another resident (#3) on March 18, 2025 . when R3, an adult was found performing a sexual act on R444, a minor. The facility failed to specifically to (1) address R444's inappropriate interactions with staff; (2) provide supervision when the minor was noted to spend time with a cognitively impaired resident; and, (3) identify sexual contact between a minor and an adult as sexual abuse. When a minor has been the victim of molestation or statutory rape it has the potential to cause long lasting effects, psychological trauma and post traumatic stress disorder. […]

• Immediate jeopardy, isolatedF607Apr 3, 2026

  Based on interviews and record review the facility failed to implement policies and procedures to prohibit and prevent abuse for one resident (R)444 when (1) Staff failed to identify non consensual sexual acts between R444 and R3 as sexual abuse; (2) Report the abuse within the time frame required by State law and federal requirements; and, (3) Conduct a thorough investigation. The failure of the facility to recognize non consensual sexual acts between minors and adults has the potential to put all minors in the facility at risk for serious psychosocial harm such as post traumatic stress disorder or psychological trauma. […]

• No harm, potential for more than minimal, patternF725May 8, 2026

  Based on resident and staff interviews, facility documentation and policy review, the facility failed to ensure there was sufficient staff to meet the needs of the residents. The deficient practice could result in residents not receiving appropriate care and treatment that they need. Number of residents sampled: 104.Findings include:The PBJ (Payroll-Based Journal) Staffing Data Report revealed that the facility consistently triggered for excessively low weekend staffing for all three quarters in 2025 and, the 1st quarter of 2026. Per the report, submitted weekend staffing data was excessively low.The facility assessment reviewed on May 7, 2026 revealed that the facility was licensed to provide care for 127 residents, had an average daily census of 108. […]

• No harm, potential for more than minimal, patternF865Apr 3, 2026

  Based on interviews, records, and policy review, the facility's QAPI program did not show it is actively addressing all care and services for residents. Specifically, the facility failed to: (1) Conduct a root cause analysis to identify why the sexual abuse incident between residents occurred; (2) Clearly define the problem or outline specific actions to fix it, including measurable goals, timelines, how effectiveness would be evaluated, and who is responsible; (3) Identify specific changes to policies, procedures, or practices that were or will be put in place; and, (4) Set up ongoing monitoring with clear baselines, target goals, and timelines. […]

• No harm, potential for more than minimal, patternF836Mar 7, 2025

  Based on clinical record review, observations, staff interviews, and policies and procedures, the facility failed to ensure that a request for a modification of a health care institution was approved by the state agency prior to establishing a dialysis center and provided dialysis treatment(s) from March 1, 2024 through March 07, 2025 to 9 residents (#17, 10, 13, 15, 8, 20, 4, 6, and 11) inside the facility. The deficiency may result in non compliance with federal, state, and local laws and professional standards. […]