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Inspection visit

complaint

SUNDIAL ASSISTED LIVINGLicense 4550029592 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Staff do not ensure there is a written record of dietitian consultation visits. Document review revealed that the facilities last recorded dietitian consultation was dated 2018. During interviews the Administrator reported for years the facility has had no nutritionist, dietitian or economist for consultation. Staff did not address residents change in condition Document review revealed, on 7-30-23 the resident weighed 229 lbs. Record review revealed a hospital visit on 1-8-25 with a recorded weight of 178 lbs. Record review reported a reappraisal completed on 2-21-25 with a recorded weight of 174.3 lbs. Record review revealed a reappraisal completed 9-9-25 with recorded weight of 140 lbs. Record review found no reappraisal completed from 7-30-23 to 2-21-25. The reappraisal report dated 9-9-25 stated the resident is experiencing nutritional problems. The report stated snack monitoring daily and daily documentation of food intake of meals. Document review revealed that the resident is diabetic with carbohydrate intake control. Document review states the resident is independent for dining with occasional reminders of mealtimes. The report states that staff will order a room tray if resident did not want to come to dining area. It was reported staff contacted a family member on 9-2-25 with concerns of the residents’ weight loss. It was reported that the facility recommended hospice as an intervention for severe weight loss. It was reported the family didn’t agree and contacted the resident’s physician. It was observed the facility completed a change in condition report on 9-9-25. Record review revealed the resident had severe weight loss as evidenced by a weight loss from 7-30-23 weight 229 lbs. to reappraisal on 2-21-25 weight of 174.3 lbs. Record review revealed the reappraisal did not address the weight loss. Record review revealed the next reappraisal completed 9-9-25 revealed further weight loss with recorded weight of 140 lbs. It was reported that the resident revealed significant fat and muscle waste. The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals un-met needs.

Citations

3 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.

  • 87463(f)Type A

    Reappraisals (f) The licensee shall immediately, or as soon as reasonably possible, communicate with the resident and, if applicable, the resident's representative, about any significant change in condition and the recommendation, if any, of the appropriate licensed medical professional, and if applicable, other specialized care provider. Documentation of such communication shall be added to the resident’s record. This requirement is not met as evidenced by: Based on documentation reviewed the facility did not perform a reappraisal when the resident had weight loss. Which poses a potential health, safety, and personal rights risk to residents in care.

  • 87466Type B

    Observation of the Resident The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This requirement is not met as evidenced by: The licesenee did not address the residents weight loss. Which poses a potential health, safety, and personal rights risk to residents in care.

  • 87555(b)(17)Type B

    General Food Service Requirements The following food service ...(17) In facilities licensed for fifty (50) or more, and providing three (3) meals per day, a full-time employee qualified by formal training ... If this person is not a nutritionist, a dietitian, or a home economist, provision shall be made for regular consultation from a person so qualified. The consultation services shall be provided at appropriate times, during at least one meal. A written record of the frequency... This requirement is not met as evidenced by: Based on documentation reviewed, the facility did not ensure the facility had a nutritionist with written records. Which poses a potential health, safety, and personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 15, 2026 inspection of SUNDIAL ASSISTED LIVING?

This was a complaint inspection of SUNDIAL ASSISTED LIVING on January 15, 2026. 2 citations were issued: 2 Type B.

Were any citations issued to SUNDIAL ASSISTED LIVING on January 15, 2026?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "Reappraisals (f) The licensee shall immediately, or as soon as reasonably possible, communicate with the resident and, ..."

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.