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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 555375

Sunset Villa Post Acute

99 federal citations on record , including 1 at the Immediate Jeopardy level, and 5 federal enforcement actions totaling $207,206.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
99
Total citations
68
Last 3 years
8
Actual harm+
5
Federal penalties
$207,206
Total fines
2
Overall ★ rating

Most common violation categories here

Quality of Care25 Resident Rights15 Care Planning14 Medication & Pharmacy13 Nutrition & Dietary9

Most common F-tags at this facility

F5805 F8805 F7554 F8124 F6893

Citation history

99 on record
SurveyF-TagViolationSeveritySource
Nov 21, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Aug 27, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint
Aug 27, 2025F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint
Jul 10, 2025F880Provide and implement an infection prevention and control program.DComplaint
Jul 10, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jul 10, 2025F641Ensure each resident receives an accurate assessment.DComplaint
Jul 10, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Mar 6, 2025F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DStandard
Mar 6, 2025F881Implement a program that monitors antibiotic use.DStandard
Mar 6, 2025F880Provide and implement an infection prevention and control program.DStandard
Mar 6, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Mar 6, 2025F790Provide routine and 24-hour emergency dental care for each resident.EStandard
Mar 6, 2025F758Implement 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
Mar 6, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Mar 6, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Mar 6, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Mar 6, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Mar 6, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Mar 6, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Mar 6, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesEStandard
Mar 6, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.EStandard
Mar 6, 2025F641Ensure each resident receives an accurate assessment.DStandard
Mar 6, 2025F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Mar 6, 2025F578Honor 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
Mar 6, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Jan 27, 2025F555Honor the resident's right to choose his or her attending physician.DComplaint
Oct 10, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
Oct 10, 2024F697Provide safe, appropriate pain management for a resident who requires such services.GComplaint
Oct 10, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Sep 4, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint
Jul 30, 2024F692Provide enough food/fluids to maintain a resident's health.GComplaint
Jul 5, 2024F610Respond appropriately to all alleged violations.DComplaint
Jul 5, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 29, 2024F728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.EComplaint
Apr 27, 2024F760Ensure that residents are free from significant medication errors.KComplaint
Apr 27, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EComplaint
Mar 26, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EComplaint
Mar 26, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
Mar 26, 2024F880Provide and implement an infection prevention and control program.EStandard
Mar 26, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Mar 26, 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.EStandard
Mar 26, 2024F760Ensure that residents are free from significant medication errors.DStandard
Mar 26, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard
Mar 26, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Mar 26, 2024F697Provide safe, appropriate pain management for a resident who requires such services.GStandard
Mar 26, 2024F692Provide enough food/fluids to maintain a resident's health.GStandard
Mar 26, 2024F687Provide appropriate foot care.DStandard
Mar 26, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.EStandard
Mar 26, 2024F610Respond appropriately to all alleged violations.DStandard
Mar 26, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Mar 26, 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.DStandard
Mar 26, 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.DStandard
Mar 26, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Mar 11, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint
Mar 11, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Mar 11, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Mar 11, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Feb 21, 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.DComplaint
Feb 21, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jan 24, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jan 24, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Dec 11, 2023F880Provide and implement an infection prevention and control program.EComplaint
Oct 18, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Sep 12, 2023F610Respond appropriately to all alleged violations.DComplaint
Aug 5, 2023F908Keep all essential equipment working safely.FComplaint
Aug 5, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Aug 5, 2023F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.FComplaint
Jul 20, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 9, 2022F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.BStandard
May 9, 2022F880Provide and implement an infection prevention and control program.EStandard
May 9, 2022F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
May 9, 2022F825Provide or get specialized rehabilitative services as required for a resident.DStandard
May 9, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
May 9, 2022F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.EStandard
May 9, 2022F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
May 9, 2022F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
May 9, 2022F761Ensure 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.EStandard
May 9, 2022F759Ensure medication error rates are not 5 percent or greater.EStandard
May 9, 2022F758Implement 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.EStandard
May 9, 2022F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
May 9, 2022F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
May 9, 2022F732Post nurse staffing information every day.BStandard
May 9, 2022F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
May 9, 2022F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
May 9, 2022F692Provide enough food/fluids to maintain a resident's health.EStandard
May 9, 2022F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard
May 9, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
May 9, 2022F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.GStandard
May 9, 2022F687Provide appropriate foot care.EStandard
May 9, 2022F685Assist a resident in gaining access to vision and hearing services.DStandard
May 9, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
May 9, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
May 9, 2022F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.GStandard
May 9, 2022F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
May 9, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
May 9, 2022F641Ensure each resident receives an accurate assessment.EStandard
May 9, 2022F585Honor 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.DStandard
May 9, 2022F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.DStandard
May 9, 2022F558Reasonably accommodate the needs and preferences of each resident.EStandard

Federal enforcement history

Federal regulators have imposed 5 enforcement actions against this facility, including 3 civil money penalties totaling $207,206 and 2 payment-denial actions spanning 62 days.

DateTypeFinePayment denial
Oct 10, 2024Fine$14,050—
Jul 5, 2024Fine$56,584—
Jul 5, 2024Payment Denial—Aug 28, 2024 · 7 days
Feb 21, 2024Fine$136,572—
Feb 21, 2024Payment Denial—Apr 24, 2024 · 55 days
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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