Inspection Reports for Sunnyside Meadows

Facility failed to complete an acuity-based staffing tool accurately capturing care time and elements for sampled residents; failed to ensure training within 30 days of hire for direct care staff; failed to maintain locked storage for poisons and chemicals; failed to comply with licensing rules for memory care community; failed to ensure staff training requirements; and failed to provide health care services in accordance with licensing rules. All deficiencies were not corrected at time of survey.

Facility failed to complete an acuity-based staffing tool accurately capturing care time and elements for sampled residents. Deficiency was not corrected at time of survey.

Facility failed to fully implement an Acuity-Based Staffing Tool; staffing was short of posted plan on several shifts; findings were not corrected at time of survey.

Facility failed to immediately notify local Department or AAA of abuse incidents; failed to ensure service plans were available and reflective of resident needs; failed to implement resident monitoring and reporting system; failed to carry out medication orders as prescribed; failed to maintain doors, walls, elevators, odors; all deficiencies were not corrected at time of survey.

Facility failed to ensure kitchen sanitation and food safety; failed to follow licensing rules; deficiencies were corrected on revisit dated 2024-03-13 except for some items.

Facility failed to report injuries of unknown cause as suspected abuse; failed to carry out medication orders as prescribed; failed to provide qualified awake direct care staff sufficient in number; failed to document medication and treatment administration competencies; failed to provide records upon request; failed to keep facility free from unpleasant odors; all deficiencies were not corrected at time of survey.

Facility failed to ensure service plans were reflective, available, and implemented; failed to ensure resident rights and protection; failed to report and investigate abuse; failed to conduct evaluations and monitoring of changes of condition; failed to carry out medication orders as prescribed; failed to maintain infection prevention and control protocols; failed to ensure staff training and competency; failed to maintain fire and life safety compliance; all deficiencies had mixed correction status with some corrected on revisits and others not corrected.

Facility failed to investigate and report sexual behaviors and abuse incidents; failed to develop reflective service plans; failed to carry out medication orders as prescribed; failed to provide sufficient awake direct care staff; failed to fully implement Acuity-Based Staffing Tool; failed to verify staff competencies; all deficiencies were not corrected at time of survey.

Facility failed to promptly investigate and report abuse; failed to update service plans quarterly; failed to comply with masking requirements; failed to provide sufficient awake direct care staff; failed to fully implement Acuity-Based Staffing Tool; all deficiencies were not corrected at time of survey.

Facility failed to ensure kitchen sanitation and food safety; failed to follow licensing rules; deficiencies were corrected on revisit dated 2023-02-10 except for some items.