Sunnyside Care Center

Inspectors wroteBased on observations and interviews during the recertification survey conducted 9/8/2025-9/12/2025, the facility did not ensure drugs and biologicals were labeled and stored in accordance with currently accepted professional principles and include the appropriate accessory and cautionary instructions, and the expiration date when applicable for two (2) of four (4) medication carts (East Hall North cart and [NAME] Hall North cart) and one (1) of two (2) medication rooms (East Hall) reviewed. Specifically, the East Hall North and [NAME] Hall North medication carts contained resident medications without pharmacy labels; opened undated medications; and expired medications; and the [NAME] Hall North medication cart was unlocked and contained three cups of medication in the top drawer.

Inspectors wroteBased on observations, record review, and interviews during the recertification and abbreviated (576137/ NY00340739 and 576142/ NY00346243) surveys conducted 9/8/2025 - 9/12/2025, the facility did not ensure resident menus were followed for two (2) of seven (7) meals observed. Specifically, the facility ran out of preplanned menu items and substituted with items that were not nutritionally equivalent; and did not inform Registered Dietitian #5 there was no orange juice, and an orange-flavored citrus punch was substituted. The Foodservice Director did not submit food orders timely to ensure food items were available for the preplanned lunch meal for 9/9/2025. Additionally, Residents #24, #64, and #66 did not receive food items at meals as planned; and Residents #7 and #48 stated the facility sometimes ran out of food.

Inspectors wroteBased on observations, record review, and interviews during the recertification and abbreviated (NY00346243/ iQIES 576143) surveys conducted 9/8/2025-9/12/2025, the facility did not ensure food was served at palatable and appetizing temperatures in accordance with professional standards for food service for 2 of 2 meals (9/9/2025 and 9/10/2025 lunch meals) reviewed. Specifically, the lunch meal test trays on 9/9/2025 and 9/10/2025 were not flavorful or served at palatable and appetizing temperatures. Additionally, seven (7) anonymous residents at the Resident Council Meeting stated the food was often cold and not flavorful Findings Include:The facility policy Food and Nutrition Services, revised 1/2025, documented each resident received meals that were nourishing and palatable. [...]

Inspectors wroteBased on observations, record review, and interviews during the recertification survey conducted 9/8/2025-9/12/2025, the facility did not ensure food was stored, prepared, distributed, and served in accordance with professional standards for one (1) of one (1) main kitchen reviewed. Specifically, food was not discarded in a timely manner; one box of bananas was stored directly on the floor; [NAME] #21 scooped chopped eggs into a mixing bowl with ungloved hands; and dishes were not sanitized properly.

Inspectors wroteBased on observations, record review, and interviews during the recertification survey conducted 9/8/2025-9/12/2025, the facility did not ensure a safe, clean, comfortable, and homelike environment for one (1) of two (2) resident units (West Unit). Specifically, the [NAME] Unit dining room had sticky floors with ants, there were flying insects throughout the unit, and resident room [ROOM NUMBER] had unclean walls.

Inspectors wroteBased on observations, record review, and interviews during the recertification survey conducted 9/8/2025-9/12/2025, the facility did not ensure the comprehensive person-centered care plan was implemented to ensure a resident's nursing needs were met for one (1) of one (1) resident (Resident #46) reviewed. Specifically, Resident #46 was at risk for falls, and the care plan was not implemented or updated with individualized interventions for fall prevention.

Inspectors wroteBased on observations, record review, and interviews during the recertification survey conducted 9/8/2025-9/12/2025, the facility did not ensure residents were provided the appropriate treatment and services to maintain or improve their ability to carry out activities of daily living including functional communication systems for one (1) of one (1) resident (Resident #22) reviewed. Specifically, Resident #22's primary language was not English, and the resident was not consistently provided with translation services or alternate forms of communication.

Inspectors wroteBased on observations, record review, and interviews during the recertification survey conducted 9/8/2025- 9/12/2025, the facility did not ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for one (1) of three (3) residents (Resident #66) reviewed. Specifically, Resident #66 had brown debris underneath long, untrimmed fingernails; foul breath with white debris on their teeth; and uncombed hair.

Inspectors wroteBased on observation, record review, and interviews during the recertification and abbreviated surveys (NY00324905 and NY00316447) conducted 2/12/2024-2/16/2024, the facility did not ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 8 of 9 residents (Residents #1, #12, #17, #21, #22, #56, #61, and #64) reviewed. Specifically, Residents #17, #21 and #64 were not assisted with transfers out of bed; Resident #1 did not receive setup assistance with their meal tray as planned; Resident #56 was not assisted with shaving or oral care; Residents #61 and #56 were not provided meal trays for one meal; Resident #22 was not provided timely checks for incontinence care; and Resident #12 did not receive assistance with a shower on their scheduled shower day.

Inspectors wroteBased on observation, record review, and interviews during the recertification and abbreviated (NY00316447) surveys conducted 2/12/2024-2/16/2024 the facility did not ensure sufficient nursing staff to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being for all 76 residents in the facility. Specifically, during a confidential resident group meeting residents stated their call bells were not answered timely, especially on the weekends, and there were not always enough certified nurse aides available to assist with activities of daily living such as transfers out of bed and dressing. Additionally, deficiencies related to staffing levels were identified in the areas of Comprehensive Resident Centered Care Plans, Activities of Daily Living, Pressure Ulcers, Respiratory Care, and Food Palatability.

Inspectors wroteBased on observation, interview, and record review during the recertification survey conducted 2/12/2024-2/16/2024, the facility did not ensure residents had the right to a safe, clean, comfortable, and homelike environment for 2 of 2 medication storage room (East and [NAME] medication storage rooms) reviewed. Specifically, the East and [NAME] Unit medication storage rooms were unclean and in disrepair.

Inspectors wroteBased on record review and interview during the recertification and abbreviated (NY00314008) surveys conducted 2/12/2024-2/16/2024, the facility did not ensure allegations of abuse, neglect, or mistreatment were thoroughly investigated for 1of 2 residents (Resident #22) reviewed. Specifically, Resident #22 had skin alterations that were not thoroughly investigated to rule out abuse, neglect, or mistreatment.

Inspectors wroteBased on observation, record review, and interview during the recertification and abbreviated (NY00313895) surveys conducted 2/12/2024- 2/16/2024, the facility did not develop and implement a comprehensive person-centered care plan to meet a resident's medical and nursing needs for 3 of 3 residents (Resident's #17, #22, and #329) reviewed. Specifically, Resident #17 was transferred using a mechanical lift with assistance of 1 and not 2 as care planned; Resident #22 was transferred and toileted with assistance of 1 and not 2 as care planned; and Resident #329 did not have a motion detector outside of their room as care planned.

Inspectors wroteBased on observation, record review, and interview during the recertification and abbreviated surveys (NY00314609) conducted 2/12/2024-2/16/2024, the facility did not ensure residents with pressure ulcers received the necessary treatment and services, consistent with professional standards of practice, to promote wound healing, prevent infection, and prevent new ulcers from developing for 2 of 5 residents (Resident #55 and #64) reviewed. Specifically, Resident #55 did not have pressure relief for their heels as planned and Resident #64 had positioning devices for pressure relief ordered that were not being used correctly.

Inspectors wroteBased on observation, record review, and interview during the recertification survey conducted 2/12/2024 - 2/16/2024, the facility did not ensure residents who needed respiratory care were provided such care, consistent with professional standards of practice for 1 of 1 resident (Resident #63) reviewed. Specifically, Resident #63's portable oxygen tank was empty and was not replaced.

Inspectors wroteBased on observation, record review, and interview during the recertification survey conducted 2/12/2024-2/16/2024, the facility did not ensure drugs and biologicals were labeled in accordance with currently accepted professional principles and included expiration dates when applicable for 1 of 2 medication carts (Southeast medication cart) reviewed. Specifically, the Southeast medication cart had resident specific insulin pens that were not labeled with open dates.

Inspectors wroteBased on observation, interview, and record review during the recertification and abbreviated (NY00329249, NY00324905, and NY00316447) surveys conducted 2/12/2024-2/16/2024, the facility did not ensure each resident received and the facility provided food and drink that was at appetizing temperatures for 2 of 2 meals reviewed (2/13/2024 and 2/15/2024 lunch meals). Specifically, food was not served at appetizing temperatures during lunch meals on 2/13/2024 and 2/15/2024.

Inspectors wroteBased on observation, interview, and record review during the recertification and abbreviated (NY00329249) surveys conducted 2/12/2024-2/16/2024, the facility did not ensure food was stored, prepared, distributed, and served in accordance with professional standards for food service safety in the main kitchen. Specifically, the main kitchen walk-in cooler, walk-in freezer, storage rooms, and rest room had unclean and uncleanable surfaces.

Inspectors wroteBased on observation, record review, and interview during the recertification survey conducted 2/12/2024- 2/16/2024, the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 2 of 4 residents (Residents #9 and #56) reviewed. Specifically, staff were observed not wearing the required personal protective equipment in Resident #9's room while on transmission-based precautions for COVID-19, and staff fed Resident #56 a sandwich with ungloved hands and did not perform hand hygiene before assisting another resident.

Inspectors wroteBased on observation and interview during the recertification survey conducted 2/12/2024-2/16/2024, the facility did post on a daily basis the current resident census and the total number, and the actual hours worked by licensed and unlicensed nursing staff directly responsible for resident care per shift, in a prominent place readily accessible to residents and visitors for 5 of 5 days reviewed. Specifically, the current daily resident census and nurse staffing schedules were in the dental office off the main hallway that was not readily accessible to visitors or residents.

Inspectors wroteBased on record review and interview during the abbreviated survey (NY00295629), the facility did not ensure residents were free from abuse and did not protect residents from further abuse when alleged abuse was reported for 1 of 3 residents reviewed (Resident #2). Specifically, when dietary aide #13 witnessed physical abuse by activity aide #14 towards Resident #2, activity aide #14 was not immediately removed from having access to Resident #2 and all other residents while the investigation was pending.

Inspectors wroteBased on observation, interview, and record review during the abbreviated survey (NY00298567, NY00314896, and NY00324614), the facility did not ensure residents with pressure ulcers received the necessary treatment and services, consistent with professional standards of practice to promote healing and prevent new ulcers from developing for 1 of 4 residents reviewed (Resident #11). Specifically, a physician recommended wound treatment was not implemented, a new skin issue was not detected or treated timely, and the resident did not have protective booties on as care planned.

Inspectors wroteBased on record review and interviews during the abbreviated survey (NY00319785), the facility did not ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 4 residents reviewed (Resident #7). Specifically, Resident #7 had multiple falls where care planned interventions were not verified to be in place upon investigation and planned changes to fall prevention interventions were not added to the care plan following falls.

Inspectors wroteBased on observation, interview, and record review during the abbreviated survey (NY00323086), the facility did not ensure food was stored and prepared in accordance with professional standards for food service safety in the main kitchen. Specifically, the walk-in cooler was not maintained and holding food at an acceptable temperature and the mechanical dishwasher was not reaching required temperatures.

Inspectors wroteBased on observation, record review and interview during the recertification survey conducted 9/27-9/30/21, the facility failed to ensure a resident who is unable to carry out activities of daily living receives the necessary services to maintain good nutrition, grooming, and personal hygiene for 5 of 10 residents (Residents #14, 25, 28, 36 and 51) reviewed. Specifically, Residents #14, 28, and 36 were not assisted with shaving timely; Residents #25 and 51 had a decline self-feeding ability and were not consistently assisted with their meals.

Inspectors wroteBased on observation, record review and interview during the recertification survey conducted 9/27-9/30/21, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that includes measurable objectives and timeframes to meet a resident's medical and nursing needs for 1 of 5 residents (Resident #227) reviewed. Specifically, Resident #227 was at risk for falls and the resident was observed without their care planned interventions in place.