Sylan Shores Health and Wellness

In the surveyor’s words

From the most serious findings on record at Sylan Shores Health and Wellness, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Jul 23, 2025

  Based on observation, interview, and record review, the facility failed to ensure each resident has the right to be free from abuse, neglect, misappropriation of resident property, and exploitation for 1 of 111 residents (Resident #1) reviewed for abuse and neglect. The facility failed to ensure Resident #1 was free from sexual abuse when Resident #1's was kissed by CNA A and her hand came in to contact with CNA A's penis on 7/13/25. The noncompliance was identified as Past Non-Compliance immediate jeopardy (IJ). The IJ began on 7/13/25 and ended on 7/17/25. The facility corrected the noncompliance before the survey began. This failure placed facility residents at risk of experiencing abuse and neglect. […]

• Immediate jeopardy, isolatedF755May 11, 2022

  Based on interview and record review the facility failed to provide pharmaceutical services (including a procedure that assured the accurate acquiring, receiving, dispensing, and administering all drugs and biologicals) to meet the needs of 1 out of 5 residents (Resident #1) reviewed for pharmacy services in that, -The facility failed to ensure the accurate medications were acquired for Resident #1. Resident #1 was transferred to the facility from another medical care facility with a medication list/ physician ' s orders for a different resident. […]

• Actual harm, isolatedF684May 11, 2022

  Based on interviews, record reviews, and observations, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for one of five residents (Resident #2) reviewed for quality of care. -The facility failed to properly identify change in condition for Resident #2 who was totally dependent on the staff. Resident #2 developed a wound on right axilla due to moisture associated skin damage, and non-blanchable redness and open area on the left axilla. This failure could place residents at risk for a delay of care or treatment, pain, and suffering. Findings include: Record review of Resident #2's face sheet revealed [AGE] years - old female was admitted to the facility on [DATE] and readmitted on [DATE]. […]

• No harm, potential for more than minimal, widespreadF812Apr 13, 2023

  Based on observation, interview, and record review, the facility failed to ensure food is prepared, distributed, and served in accordance with standards for food service safety for residents who consume meals provided on dishware from the facility. The facility failed to ensure that the dishwasher was providing sanitizer during sanitizing cycle to reduce presence of harmful bacteria, viruses, and other harmful microbes from dishes. This failure could place residents at risk for transmission of communicable disease and illness via improperly cleaned dishware. Findings included: Observation on 4/11/23 at 8:37am revealed Diet Aide A operating the dishwasher. Observed temperature at 120F. […]

• No harm, potential for more than minimal, patternF641Jul 23, 2025

  Based on observation, interview and record review, the facility failed to ensure each resident receives an accurate assessment reflecting the resident's status for 3 of 23 residents reviewed for assessment accuracy (Residents #7, #58, #63, #99).Bed rails used for positioning and turning were coded on the MDS as physical restraints for Residents #7, #58, #63, #99. These failures placed residents at risk of having inaccurate assessments and receiving improper care and services. Findings include: Resident #7Record review of Resident #7's face sheet revealed admission date 1/31/23 with diagnoses including Alzheimer's disease (loss of memory and mental functions), heart disease, major depressive disorder (depression or loss of interest affecting daily life), hypertension (high blood pressure),… […]