Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Sunny Knoll Care Centre during CMS and state inspections, most recent first.
The facility failed to submit accurate PBJ staffing reports, missing 24-hour licensed nursing coverage on several dates. Staff F, a salaried DON, worked shifts without clocking in, leading to unrecorded hours. The BOM submitted adjusted hours, but they were not reflected in the final report. The Payroll Coordinator and Administrator were unaware of these discrepancies.
The facility failed to implement comprehensive care plans for two residents, one requiring oxygen therapy and the other with smoking safety needs. The care plans lacked focus areas and interventions for these needs until months after initial assessments, despite facility policies requiring timely updates.
Two residents in an LTC facility experienced deficiencies in care due to staff failing to follow physician's orders. One resident received an incorrect dose of Aripiprazole for six days due to an error in medication entry, despite procedures for double-checking. Another resident with diabetes had a high blood glucose level recorded without rechecking or notifying the physician, as required. The facility lacked specific policies for these issues, relying on general standards of care.
A resident with severe cognitive deficits and multiple diagnoses, including Alzheimer's and muscle weakness, was left in a wheelchair for over four hours without repositioning, contrary to her care plan. This oversight occurred due to a lack of specific facility policy on repositioning frequency, as acknowledged by the DON.
The facility failed to monitor and document skin issues for two residents, leading to deficiencies in care. One resident, with severe cognitive deficits, had an undocumented scab on her knee, while another resident, with moderate cognitive impairment, had scabs on her ear that were not assessed or documented. The facility did not adhere to its skin care policy, resulting in unmonitored skin issues.
A resident with a history of tobacco use was not adequately protected from smoking hazards due to the facility's failure to include smoking interventions in the Care Plan and lack of physician orders. The resident's nicotine patch administration was inconsistent, and staff interviews indicated a lack of supervision during smoking. The facility's policy required an evaluation and physician orders for smoking, which were not followed.
Inaccurate PBJ Staffing Report Due to Unrecorded Hours
Penalty
Summary
The facility failed to submit accurate staffing reports for the CMS Payroll Based Journal (PBJ) Staffing Data Report for the period of January 1 to March 31. The report indicated that the facility did not provide 24-hour licensed nursing coverage on seven specific dates in February and March. Upon review, it was found that the Nurse Schedule showed that Staff F, the previous Director of Nursing (DON), covered nursing shifts on five of these dates. However, Staff F, being a salaried employee, did not clock in or out, leading to discrepancies in the reported hours. The Business Office Manager (BOM) had submitted adjusted hours to the corporate office, but these adjustments were not reflected in the final PBJ report. The Payroll Coordinator was unaware that Staff F had worked as a floor nurse on certain dates, which resulted in these hours not being included in the report. The Administrator was also not aware of the PBJ report's triggers for failing to have 24-hour licensed nursing coverage. Although the Administrator knew that Staff F had worked as a floor nurse, the hours were not submitted correctly, contributing to the deficiency in the staffing report.
Failure to Implement Comprehensive Care Plans
Penalty
Summary
The facility failed to develop and implement comprehensive care plans for two residents, leading to deficiencies in addressing their specific needs. Resident #6, who had moderate cognitive impairment and required oxygen therapy, did not have a care plan focus area or interventions for oxygen use until nearly three months after the initial assessment. The resident's clinical physician orders specified the use of 1.5 liters of oxygen via nasal cannula to maintain oxygen saturation above 90%, but this was not reflected in the care plan until much later. Similarly, Resident #13, who had intact cognition and a history of tobacco use, did not have a care plan addressing smoking safety until nearly three months after the initial assessment. The resident required a smoker's apron and supervision while smoking due to impaired decision-making ability, but these needs were not included in the care plan until September. The Director of Nursing and the Administrator acknowledged that the care plans were not current with the residents' needs, which was contrary to the facility's policies on care plan development and implementation.
Medication and Monitoring Deficiencies in LTC Facility
Penalty
Summary
The facility staff failed to follow physician's orders for two residents, leading to deficiencies in medication administration and monitoring of blood glucose levels. Resident #15, who had a brief hospitalization, returned to the facility with incorrect medication orders. The antipsychotic medication Aripiprazole was entered incorrectly into the electronic chart, resulting in the resident receiving an incorrect dose of 22 mg daily for six days. This error occurred despite procedures in place for double-checking medication lists, as acknowledged by the Director of Nursing (DON) and staff involved. Resident #14, diagnosed with diabetes mellitus, had a physician's order to monitor blood glucose levels and contact the provider if levels were outside specified parameters. On one occasion, the resident's blood glucose level was recorded at 489 mg/dL, but there was no evidence that the level was rechecked or that the physician was contacted. Staff A, an LPN, who was responsible for monitoring the resident's blood glucose levels, did not recall any instances of levels being out of parameters during her shift. The facility lacked specific policies for blood glucose parameters and medication order entry, relying instead on general standards of care. The Administrator acknowledged the importance of double-checking blood glucose levels and medication orders for accuracy. The deficiencies highlight lapses in following established procedures for medication administration and monitoring, which are critical for ensuring resident safety and adherence to physician's orders.
Failure to Reposition Vulnerable Resident
Penalty
Summary
The facility failed to ensure that a vulnerable resident, identified as Resident #21, was repositioned to prevent discomfort and the development of pressure ulcers. Resident #21, who was admitted to the facility on hospice services, had severe cognitive deficits and was totally dependent on staff for daily activities. She was always incontinent and had multiple diagnoses, including renal insufficiency, Alzheimer's disease, and muscle weakness. Upon admission, she had three pressure ulcers and required regular monitoring and repositioning to prevent further skin breakdown. On the day of the observation, Resident #21 was left in her wheelchair for over four hours without being repositioned, despite her care plan indicating the need for regular repositioning. During this time, she was observed sleeping with her head hanging to the side and her legs in various uncomfortable positions. The Director of Nursing later acknowledged that the aide responsible for her care had forgotten to put her in bed after lunch, and the facility lacked a specific policy on how often vulnerable residents should be repositioned.
Failure to Monitor and Document Skin Issues
Penalty
Summary
The facility failed to monitor and document skin issues for two residents, leading to deficiencies in care. Resident #21, who was admitted with severe cognitive deficits and multiple pressure ulcers, was found to have an uncovered scab on her right knee that staff were unaware of and had not documented. Despite the facility's policy requiring weekly skin assessments and daily monitoring of existing wounds, the clinical record lacked documentation of the knee sore or any physician's order for its treatment. Staff were expected to document new skin issues and notify nursing, but this was not done for Resident #21. Similarly, Resident #11, who had moderate cognitive impairment and was at risk for pressure ulcers, was observed with scabs on her right ear that were not documented in her clinical record. The resident reported itching and had scratched the area, but staff had not assessed or intervened as necessary. The Director of Nursing was unaware of the current condition, believing a previous issue had resolved. The facility's failure to adhere to its skin care and wound management policy resulted in unmonitored and undocumented skin issues for both residents.
Failure to Protect Resident from Smoking Hazards
Penalty
Summary
The facility failed to protect a resident from potential accidents and injuries related to smoking. Resident #13, who had intact cognition and a history of tobacco use, was identified as needing smoking safety education in their Baseline Care Plan. However, the Care Plan did not include a focus area or interventions for smoking until several months later. The resident's clinical records did not contain physician orders for smoking, and there were inconsistencies in the administration of nicotine patches, with orders being started and stopped multiple times without clear documentation. Staff interviews revealed that the resident smoked periodically without a set schedule and typically in the evenings. Staff members, including a Certified Medication Aide and a Registered Nurse, stated they had not taken the resident out to smoke. The Director of Nursing confirmed the absence of smoking orders in the resident's chart and acknowledged the inconsistencies in the nicotine patch administration. The facility's policy required an evaluation and physician orders for residents who wished to smoke, which was not adhered to in this case.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Good Samaritan - Manson | 10.4 mi | ★★★★★ | 0 | 0 |
| Accura Healthcare Of Pomeroy, Llc | 10.5 mi | ★★★★★ | 10 | 0 |
| Accura Healthcare Of Lake City, Llc | 11.4 mi | ★★★★★ | 8 | 0 |
| Fonda Specialty Care | 17.1 mi | ★★★★★ | 4 | 0 |
| Park View Rehabilitation Center | 18.1 mi | ★★★★★ | 12 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.