Sunrise Assisted Living Home II.

“Based on record review and interview, the manager failed to ensure that when the assisted living home contacted an emergency responder on behalf of a resident, provided the emergency responder a written document that included the name, address and telephone number of the resident's current pharmacy and a copy of the resident's health insurance portability and accountability act release authorizing a receiving hospital to communicate with the assisted living center or assisted living home to plan for the resident's discharge.  Findings include: 1. A review of R1's emergency medical services documentation did not include a phone number to R1's pharmacy and a copy of R1's health insurance portability and accountability act release document. 2. In an exit interview, the findings were reviewed with E1 and no additional information was provided.”

“Based on documentation review, record review, and interview, the manager failed to ensure that written notification was provided to the Department of a resident’s self-injury within two working days after the resident inflicted a self-injury that required immediate intervention by an emergency services provider. Findings include: 1. A review of Department documentation revealed notification was made to the Department regarding R1's self-inflicted injury on August 27, 2025. The incident required emergency medical services. 2. A review of R1's incident report revealed the date of the related incident occurred on August 19, 2025. However, notification to the Department was not made within two working days as required. 3. In an exit interview, the findings were reviewed with E1 and no additional information was provided.”

“Based on documentation review, record review, and interview, the manager failed to ensure that when a resident had an accident, emergency, or injury that resulted in the resident needing medical services, a caregiver or an assistant caregiver immediately notified the resident’s emergency contact and primary care provider. The deficient practice posed a health and safety risk. Findings include: 1. R9-10-101.111 stated "Immediate" means without delay. 2. A review of R1's incident report, dated August 19, 2025, revealed that there was no documentation of the time of contact for the resident's primary care doctor and emergency contact. 3. In an interview, E1 reported they contacted R1's representative and primary care doctor immediately after the incident. However, documentation of this contact was not available for review. 4. In an exit interview, the findings were reviewed with E1 and no additional information was provided.”

“Based on documentation review, record review, and interview, the manager failed to ensure that written notification was provided to the Department of a resident’s self-injury within two working days after the resident inflicted a self-injury that required immediate intervention by an emergency services provider. Findings include: 1. A review of R1's medical record contained an incident report dated August 19, 2025, that revealed a self-injury that required emergency medical services. However, notification to the Department was not made within two working days as required. 2. In an exit interview, the findings were reviewed with E1, and no additional information was provided.”

“Based on observation and interview, the manager failed to ensure that the premises and equipment used at the assisted living facility were free from a condition or situation that may cause a resident or other individual to suffer physical injury. Findings include: 1. During the environmental inspection with E2 and E3, the Compliance Officers observed a locked gate in the backyard which led to the front yard. However, the pathway to the gate had trash cans, a mattress and various other items which blocked access to the gate for egress. 2. During an interview, E2 and E3 acknowledged that the pathway from the backyard to the front of the facility was not free from a condition or situation that may cause a resident or other individual to suffer physical injury.”