Sunrise on Providence

The facility failed to meet the acute healthcare needs for a resident, resulting in an unstageable gluteal fold wound. Specifically, there was a lack of documentation regarding the notification of the resident's contracted Nurse Practitioner about the wound between January 18 and January 21, 2025, and the required Pressure Injury Investigation Form was unavailable for review.

The facility failed to meet the acute healthcare needs for a resident, resulting in an unstageable gluteal fold wound. Specifically, there was a period between 01/18/25 and 01/21/25 where the resident's contracted Nurse Practitioner was not notified of the wound, and the required Pressure Injury Investigation Form was unavailable for review.

The facility failed to ensure that medical examinations were completed annually for one resident and that the results were properly entered onto the FL-2 form.

The facility failed to ensure that two sampled residents had care plans signed by a physician within 15 days of the completion of their assessment.

The facility failed to notify a resident's physician regarding medication refusals for one sampled resident.

The facility failed to implement and maintain COVID-19 safety protocols as established by the CDC and NCDHHS. Specifically, the facility did not ensure proper viral testing, appropriate use of personal protective equipment (PPE), or adequate infection control procedures to reduce the risk of transmission.

The facility failed to implement and maintain CDC, NCDHHS, and Local Health Department guidelines to protect residents during the COVID-19 pandemic. Specifically, the facility failed to ensure proper viral testing for residents and staff, appropriate use of personal protective equipment (PPE), and effective infection control procedures such as proper cleaning of reusable medical equipment.

The facility failed to ensure that unlicensed staff completed required training on the care of diabetic residents prior to administering insulin. Specifically, a review of a medication aide's personnel record showed no documentation of this training, despite the staff member performing fingerstick blood sugar checks and insulin administration.

The facility failed to serve eight ounces of pasteurized milk at least twice a day to residents in the Special Care Unit (SCU). Observations and interviews revealed that milk was not offered or served during breakfast meals, and staff were not consistently providing the required milk service as indicated on the weekly menu.

The facility failed to serve eight ounces of pasteurized milk at least twice a day to residents in the Special Care Unit (SCU). Observations during lunch and breakfast meals showed that milk was not offered or served to most residents, with beverages primarily consisting of water, juice, tea, and coffee. Interviews with residents and staff confirmed that milk is not consistently provided as required by the daily menu.