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Inspection visit

complaint

SUNNYBRAE HOMELicense 197609684
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

· On 11/15/22, Hospice record review conducted. IB’s review reveal that during R1’s stay at the facility, nursing visits were made on 10/07/22, 10/12/22, 10/14/22, 10/19/22, 10/24/22, 10/28/22, 10/31/22. Client was hospitalized on 10/29/22. · On 12/13/22, IB reviewed records from Bradman’s center, which reveal documentation of Bacterial infection prior to admission to facility. Records confirm wound care provided from 09/30/22 to 10/29/22. During Home Health Agency (HHA) visit on 10/29/22, maggots observed to R1’s toe. R1 was sent to the hospital as a result. IB’s review of records indicate that R1 continued to receive wound care services after their return from the hospital. · On 12/13/22, IB reviewed medical records from the hospital. Record review reveal R1 arrived at the hospital on 10/29/22, and was discharged back to the facility on 11/02/22. R1 was admitted at risk for rapid decompensation due to infectious symptoms and evidence of worsening bacterial infection. On 10/31/22, treating physician recommended for surgery. On 11/02/22, Social Worker (SW) confirms R1 continued to receive daily wound care, hospice care, and weekly visits from Bradman. SW denied the maggots were due to lack of care. · On 12/29/22, IB interviewed R1’s family who was not aware of any care concerns. · On 01/12/23, IB interviewed the facility administrator, Jeffery Savella, Staff 1 (S1) and Staff 2 (S2). According to the administrator, “staff are trained to observe for any obvious changes and then report to the home health nurse. As far as the administrator knows, they did not observe any such changes or issues with R1’s wound care”. Interviews with S1 and S2 confirms that they are live-in staff that helps assist with R1’s care. Both staff acknowledge R1 was receiving wound care, and they help assist the hospice nurse with the bathing and cleaning to R1, but did not see the presence of maggots to R1’s toe. Staff also indicated that their job is to visually observe for any changes between nursing visits. Based on the information obtained by IB, R1’s conditions were chronic and existed before admission to this facility. R1 was receiving daily wound care and treatment from home health and hospice. Facility staff’s duty is to observe for any changes with R1 and report to home health, which they reported to no significant level of activity. While there was a presence of maggots to the toe area of R1, the evidence does not support that it was a result of caregiver neglect. Therefore, the allegation of staff neglect is deemed Unsubstantiated at this time.

Citations

29 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87457(c)(1)Type B

    Based on record review, the licensee did not comply with the section cited above in 5 out of 6 residents appraisal is missing which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87463(a)Type B

    Based on record review, the licensee did not comply with the section cited above in 5 out of 6 residents appraisal is missing which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87464(c)Type B

    Based on record review, the licensee did not comply with the section cited above in 1 out of 6 residents admission agreement is missing which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87464(d)Type B

    Based on record review, the licensee did not comply with the section cited above in 1 out of 6 residents admission appraisal agreement is missing which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(d)(2)Type A

    Based on record review, the licensee did not comply with the section cited above in 6 out of 6 MAR log was not filled-in, log stop at 8.5.2024 which poses an immediate health, safety or personal rights risk to persons in care.

  • 1569.885(c)Type B

    Based on record review, the licensee did not comply with the section cited above in 1 out of 6 residents functional capability is missing which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.886(d)Type B

    Based on record review, the licensee did not comply with the section cited above in 1 out of 6 residents admission agreement is missing which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87411(a)(11)Type B

    Personnel Records/Staff Training - Personnel Records Section 87412(a)(11) - Domain Focused(11) A health screening as specified in Section 87411, Personnel Requirements - General.

  • 87456(a)(2)Type B

    Based on record review, the licensee did not comply with the section cited above in 1 out of 6 residents is missing pre-admission which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87457(c)Type B

    Based on record review, the licensee did not comply with the section cited above in 5 out of 6 residents needs and service plan is missing which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87467(a)Type B

    Based on record review, the licensee did not comply with the section cited above in 1 out of 6 residents admission agreement is missing which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87506(b)(13)Type B

    Based on record review, the licensee did not comply with the section cited above in 5 out of 6 residents functional capability is missing which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87506(b)(17)(A)Type B

    Based on record review, the licensee did not comply with the section cited above in 5 out of 6 residents pre-admission appraisal is missing which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87506(b)(17)(B)Type B

    Based on record review, the licensee did not comply with the section cited above in 5 out of 6 residents functional capability is missing which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87506(b)(17)(D)Type B

    Based on record review, the licensee did not comply with the section cited above in 5 out of 6 residents social factor is missing which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87507(a)(1)(A)Type B

    Based on record review, the licensee did not comply with the section cited above in 1 out of 6 residents admission agreement is missing which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87507(a)(1)(B)Type B

    Based on record review, the licensee did not comply with the section cited above in 1 out of 6 residents admission appraisal agreement is missing which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87507(b)Type B

    Based on record review, the licensee did not comply with the section cited above in 6 out of 6 residents admission appraisal agreement is missing which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87507(c)Type B

    Based on record review, the licensee did not comply with the section cited above in 1 out of 6 residents admission appraisal agreement is missing which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87507(g)Type B

    Based on record review, the licensee did not comply with the section cited above in 1 out of 6 residents admission appraisal agreement is missing which poses/posed a potential health, safety or personal rights risk to persons in care

  • 87507(g)(3)(A)1Type B

    Based on record review, the licensee did not comply with the section cited above in 1 out of 6 residents admission appraisal agreement is missing which poses/posed a potential health, safety or personal rights risk to persons in care

  • 87507(l)Type B

    Based on record review, the licensee did not comply with the section cited above in 1 out of 6 residents admission agreement is missing which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87508(a)(3)Type B

    Based on record review, the licensee did not comply with the section cited above in 3 out of 6 residents identity and emergency information and emergency is missing which poses/posed a potential health, safety or personal rights risk to persons in care

  • 87608(a)Type B

    Based on record review, the licensee did not comply with the section cited above in 5 out of 6 residents appraisal. emergency is missing which poses/posed a potential health, safety or personal rights risk to persons in care

  • 1569.885(a)Type B

    Based on record review, the licensee did not comply with the section cited above in 1 out of 6 residents admission agreement is missing which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(e)Type A

    Based on record review, the licensee did not comply with the section cited above in 1 out of 1 MAR, incomplete log of MAR, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87506(b)(15)Type B

    Based on record review, the licensee did not comply with the section cited above in 5 out of 6 residents appraisal is missing which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87506(b)(17)(C)Type B

    Based on record review, the licensee did not comply with the section cited above in 5 out of 6 residents mental condition is missing which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87507(d)Type B

    Based on record review, the licensee did not comply with the section cited above in 1 out of 6 residents admission appraisal agreement is missing which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 7, 2024 inspection of SUNNYBRAE HOME?

This was a complaint inspection of SUNNYBRAE HOME on August 7, 2024. The inspection found no deficiencies and no citations were issued.

Were any citations issued to SUNNYBRAE HOME on August 7, 2024?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.