Villas at Sunny Acres, The

In the surveyor’s words

From the most serious findings on record at Villas at Sunny Acres, The, in the surveyor’s own words.

• Actual harm, isolatedF689Mar 11, 2024

  Based on observations, record review and interviews, the facility failed to ensure the resident's environment was free from accident hazards for three (#95, #12 and #19) of eight residents reviewed for falls out of 53 sample residents. Resident #95, who had a previous history of falls at the facility and was identified to be at high risk for falling, experienced a fall on 1/9/24 which resulted in a left hip fracture that required hospitalization and a left partial hip replacement. The facility failed to ensure effective and timely interventions were in place after 11/27/23 to prevent Resident #95 from sustaining a fall on 1/9/24 which resulted in a left hip fracture. […]

• Actual harm, isolatedF691Mar 11, 2024

  Based on observation, record review and interviews, the facility failed to ensure that residents who require colostomy services receive such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences for one (#130) of three residents reviewed for colostomy care out of 53 sample residents. Resident #130 was admitted to the facility on [DATE] with diagnoses of cognitive-communication deficit, anxiety disorder and with toxic megacolon (swelling and inflammation of the colon) that required a colostomy (a surgical operation in which a piece of the colon was diverted to an artificial opening in the abdominal wall to bypass a damaged part of the colon). […]

• Actual harm, isolatedF692Mar 11, 2024

  Based on observations, record review and interviews, the facility failed to ensure one (#26) of three out of 53 sample residents received the care and services necessary to meet their nutrition needs and to maintain their highest level of physical well-being. Resident #26 displayed slurred speech, confusion, and left sided weakness resulting in an admission to the hospital on 1/17/24. It was concluded he had suffered from a stroke and was readmitted to the facility on [DATE]. On 1/21/24, the resident weighed 161.9 pounds (lbs). On 2/19/24, a month later, Resident #26 weighed 143.3 lbs. which was a 11.49% weight loss and a difference of 18.6 lbs. On his next weight on 3/7/24 (during the survey), the resident weighed 137.6 lbs. […]

• Actual harm, isolatedF689Dec 5, 2022

  Based on record review, observations, and interviews, the facility failed to ensure three (#19, #7 and #119) of seven residents reviewed out of 55 sample residents received adequate supervision to prevent accidents. Specifically, the facility failed to develop and implement person-centered care plans that identified the residents' fall risk; included effective fall reduction interventions; and implement and provide timely and consistent fall prevention interventions, for Residents #19, #7 and #119. Resident #19 was identified as a fall risk within the comprehensive care plan. The facility failed to provide sufficient supervision and training for caregivers to prevent falls and injuries. The fall risk care plan was put into place on 12/10/2020 which identified the resident as a fall risk. […]

• No harm, potential for more than minimal, widespreadF880Feb 16, 2023

  Based on observations, record review and interviews, the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of Coronavirus (COVID-19), diseases and infection. Specifically, the facility failed to: -Ensure facility staff wore facial coverings appropriately; -Ensure housekeeping staff were following the proper cleaning techniques for cleaning resident rooms and high frequency touched areas were disinfected; -Ensure the alcohol based hand rub (ABHR) placed throughout the facility had not expired; -Ensure writing utensils were cleaned/sanizitzed after resident use; -Ensure Resident #14 did not enter into a room with a resident who was COVID-19 positive; -Ensure hand… […]