SUNNYCREST MANOR

Nursing Home Inspector

2375 ROOSEVELT STREET
DUBUQUE, IA 52001
Dubuque County
Phone: 563-583-1781
Provider Number: 165556
Last Inspection: 02/16/2017

About the Nursing Home

Number of Beds: 77
Number of Residents: 76
Beds Available: 1
Percent Occupancy: 99%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: Government - County
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

4

Facility
5

County
10

IA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

4

2017
12

2016
14

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

2/16/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern : Minimal 4 3/14/2017
 

2/18/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Pattern : Minimal 4 3/3/2016
 
Failed To: Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. Pattern : Minimal 4 3/3/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 3/3/2016
 

2/26/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 3/26/2015
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 3/26/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 3/26/2015
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern : Minimal 4 3/26/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

8/22/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Actual 4 8/22/2017
 

9/17/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated : Minimal 3 10/6/2015
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 10/6/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 10/6/2015
 
Failed To: Hire a qualified dietician. Isolated : Minimal 3 10/6/2015
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Isolated : Minimal 3 10/6/2015
 
Failed To: Offer other nutritional food to each resident who will not eat the food served. Pattern : Minimal 4 10/6/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 10/6/2015
 
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Isolated : Minimal 3 10/6/2015
 
Failed To: Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. Isolated : Minimal 3 10/6/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg IA State Avg
Number of Residents 76 66.92 53.91
Registered Nurses 0.54 0.67 0.80
Licensed Practical / Vocational Nurses 0.51 0.40 0.60
Certified Nursing Assistants 3.86 2.41 2.39
Total Staff Hours 4.92 3.48 3.79

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% IA State Avg%
of high risk long-stay residents with pressure ulcers 1 1 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 96 97 96
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99 97 96
of long-stay residents experiencing one or more falls with major injury 4 2 3
of long-stay residents who have depressive symptoms 10 5 4
of long-stay residents who lose too much weight 2 4 6
of long-stay residents who received an antianxiety or hypnotic medication 45 25 21
of long-stay residents who received an antipsychotic medication 45 19 15
of long-stay residents who self-report moderate to severe pain 11 6 6
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 13 17 18
of long-stay residents whose need for help with daily activities has increased 12 17 16
of long-stay residents with a catheter inserted and left in their bladder 3 3 2
of long-stay residents with a urinary tract infection 10 5 5
of low risk long-stay residents who lose control of their bowels or bladder 51 49 41
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 40 89 86