Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 555309

Sundance Creek Post Acute

72 federal citations on record .

Record summary

Federal record · Q1 2026
72
Total citations
59
Last 3 years
0
Actual harm+
0
Federal penalties
$0
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care21 Resident Rights16 Nutrition & Dietary10 Medication & Pharmacy7 Abuse & Neglect6

Most common F-tags at this facility

F6847 F8805 F6093 F6983 F7613

Citation history

72 on record
SurveyF-TagViolationSeveritySource
Jan 21, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jan 21, 2026F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Nov 24, 2025F880Provide and implement an infection prevention and control program.DStandard
Nov 24, 2025F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.DStandard
Nov 24, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Nov 24, 2025F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard
Nov 24, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Nov 24, 2025F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard
Nov 24, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Nov 24, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Nov 24, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard
Nov 24, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard
Nov 24, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Aug 12, 2025F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Jul 9, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 8, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
May 1, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Mar 11, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Mar 11, 2025F610Respond appropriately to all alleged violations.DComplaint
Mar 11, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jan 3, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jan 3, 2025F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DComplaint
Oct 24, 2024F880Provide and implement an infection prevention and control program.DComplaint
Oct 24, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Oct 24, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Sep 18, 2024F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DComplaint
Sep 9, 2024F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint
Sep 9, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Aug 23, 2024F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DStandard
Aug 23, 2024F880Provide and implement an infection prevention and control program.DStandard
Aug 23, 2024F865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard
Aug 23, 2024F850Hire a qualified full-time social worker in a facility with more than 120 beds.FStandard
Aug 23, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Aug 23, 2024F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.DStandard
Aug 23, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Aug 23, 2024F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.EStandard
Aug 23, 2024F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard
Aug 23, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Aug 23, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.FStandard
Aug 23, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Aug 23, 2024F697Provide safe, appropriate pain management for a resident who requires such services.EStandard
Aug 23, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Aug 23, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Aug 23, 2024F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DStandard
Aug 23, 2024F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.EStandard
Aug 23, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.EStandard
Aug 23, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Jul 23, 2024F880Provide and implement an infection prevention and control program.DComplaint
Jul 18, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DComplaint
Jul 18, 2024F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.DComplaint
May 31, 2024F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.DComplaint
May 7, 2024F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DComplaint
Feb 7, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Feb 7, 2024F572Give residents a notice of rights, rules, services and charges.DComplaint
Feb 6, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jan 10, 2024F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Oct 20, 2023F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DComplaint
Sep 27, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jun 22, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 16, 2021F880Provide and implement an infection prevention and control program.DStandard
Dec 16, 2021F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Dec 16, 2021F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Dec 16, 2021F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.EStandard
Dec 16, 2021F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard
Dec 16, 2021F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Dec 16, 2021F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Dec 16, 2021F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Dec 16, 2021F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Dec 16, 2021F679Provide activities to meet all resident's needs.DStandard
Dec 16, 2021F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Dec 16, 2021F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Dec 16, 2021F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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