A list of the most recent deficiencies for Sunrise Nursing and Memory Care. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-17 | 2023-10-17 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-08-07 | 2023-09-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-07 | 2023-09-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-07 | 2023-09-08 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-08-07 | 2023-09-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-07 | 2023-09-08 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-07 | 2023-09-08 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-08-07 | 2023-09-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-07 | 2023-09-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-08-07 | 2023-09-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-07 | 2023-09-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-07 | 2023-09-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-07 | 2023-09-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-07 | 2023-09-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-07 | 2023-09-08 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-07 | 2023-07-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-01 | 2023-05-25 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-17 | 2023-02-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-17 | 2023-02-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-17 | 2023-02-24 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-01-17 | 2023-02-24 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-12-14 | 2023-01-13 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-11-29 | 2023-01-09 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-10-24 | 2022-12-08 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-16 | 2022-06-16 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-02-25 | 2022-03-18 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-02-25 | 2022-03-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-08 | 2022-03-04 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-01-19 | 2022-02-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-04 | 2022-02-01 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-01-04 | 2022-02-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-09 | 2022-01-21 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-17 | 2022-01-02 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-08-17 | 2021-11-16 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-08-17 | 2021-11-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-17 | 2021-11-16 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-10-15 | 2021-11-16 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-10-15 | 2021-11-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-15 | 2021-11-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-17 | 2021-10-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-17 | 2021-10-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-17 | 2021-10-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-17 | 2021-10-01 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-08-17 | 2021-10-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-08-17 | 2021-10-01 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-08-17 | 2021-10-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-17 | 2021-10-01 | Y |
| Dispose of garbage and refuse properly. | Health | 2021-08-17 | 2021-10-01 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-08-17 | 2021-10-01 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-08-17 | 2021-10-01 | N |
| Meet other general requirements. | Fire Safety | 2021-08-17 | 2021-10-01 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-08-17 | 2021-10-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-08-17 | 2021-10-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-17 | 2021-10-01 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-08-17 | 2021-10-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-08-17 | 2021-10-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-17 | 2021-10-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-17 | 2021-10-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-17 | 2021-10-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-17 | 2021-10-01 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-08-17 | 2021-10-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-17 | 2021-10-01 | N |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2021-04-30 | 2021-06-10 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-03-14 | 2019-05-09 | N |
| Respond appropriately to all alleged violations. | Health | 2019-03-14 | 2019-05-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-14 | 2019-05-09 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-03-14 | 2019-04-15 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-03-14 | 2019-04-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-03-14 | 2019-04-15 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-03-14 | 2019-04-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-14 | 2019-04-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-03-14 | 2019-04-15 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-03-14 | 2019-04-15 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-03-14 | 2019-04-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-14 | 2019-04-15 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-03-14 | 2019-04-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-14 | 2019-04-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-03-14 | 2019-04-15 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2019-03-14 | 2019-04-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-03-14 | 2019-04-15 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-03-14 | 2019-04-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-03-14 | 2019-04-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-03-14 | 2019-04-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-14 | 2019-04-15 | N |
