Above average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
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 Sunrise Retirement Community during CMS and state inspections, most recent first.
The facility did not ensure that an area was free from accident hazards and failed to provide adequate supervision to prevent accidents, as identified by surveyors.
A CNA failed to perform hand hygiene after providing catheter care to a resident, both between glove changes and after removing PPE, despite facility policy requiring proper hand hygiene at these points. The lapse was confirmed by the Unit Manager during staff interviews.
A resident with severe cognitive deficits and high-risk medications did not receive timely administration of furosemide and rivastigmine due to unavailability. The facility also failed to monitor and report significant weight gains as directed by the cardiologist. Staff faced challenges obtaining medications from the VA and the resident's home pharmacy, leading to treatment disruptions.
The facility failed to properly monitor and store controlled substances for two residents, leading to deficiencies in pharmaceutical services. A resident with severe cognitive impairment did not have unused Ativan destroyed after discontinuation, with discrepancies in documentation and verification. Another resident on high-risk medications had Tramadol discontinued without proper documentation of its disposition, missing a second nurse signature. The DON acknowledged errors in documentation and lack of awareness among nurses regarding medication discontinuation.
A facility failed to maintain accurate records for a resident with severe cognitive deficits and high-risk medications. Despite a medication not being administered due to unavailability, staff documented no adverse reactions. The facility's electronic charting system had an automatic alert for new medications, but it was not used correctly, leading to inaccurate documentation.
Failure to Maintain Accident-Free Environment and Adequate Supervision
Penalty
Summary
The facility failed to ensure that an area was free from accident hazards and did not provide adequate supervision to prevent accidents. This deficiency was identified by surveyors based on observations or events that demonstrated a lack of appropriate safety measures and supervision in the specified area. No additional details about the specific actions, inactions, or individuals involved are provided in the report.
Failure to Perform Hand Hygiene After Resident Care
Penalty
Summary
Staff H, a Certified Nursing Assistant, was observed performing hand hygiene and donning personal protective equipment (PPE) before providing catheter care to a resident. After completing the care, Staff H removed soiled gloves but did not perform hand hygiene before donning new gloves. Staff H then rearranged the resident's wheelchair, opened the door, and exited the room. Upon doffing PPE, Staff H again failed to perform hand hygiene and proceeded down the hall. The facility's Hand Hygiene policy, last updated in January 2025, requires hand hygiene to be performed in accordance with accepted standards of practice. During an interview, the Unit Manager confirmed that hand hygiene should have been performed between glove changes and after removing PPE.
Failure to Administer Medications and Monitor Weight Gains
Penalty
Summary
The facility failed to ensure that staff followed through with physicians' orders for a resident with severe cognitive deficits and multiple high-risk medications. The resident had orders for furosemide and rivastigmine, which were not administered in a timely manner due to unavailability. The facility's records showed that the rivastigmine patch was not given on several occasions in July and August, and the furosemide was not administered on specific dates in August and September. Additionally, the facility did not adhere to the cardiologist's directive to monitor and report significant weight gains, as evidenced by the lack of documentation in the Nursing Progress Notes regarding re-weighs or doctor contact. Staff interviews revealed challenges in obtaining medications from the Veterans Administration (VA) and the resident's home pharmacy, leading to delays in medication administration. The Director of Nursing acknowledged these challenges and the failure to follow through with weight monitoring as per the doctor's orders. Despite attempts by staff to contact pharmacies and obtain medications, the facility's policy on handling unavailable medications was not effectively implemented, resulting in disruptions to the resident's treatment and care.
Failure to Monitor and Document Controlled Substance Disposal
Penalty
Summary
The facility failed to properly monitor and store controlled substances for two residents, leading to deficiencies in pharmaceutical services. For Resident #36, who had severe cognitive impairment and was receiving hospice services, the facility did not destroy unused Ativan after the physician's order was discontinued. Staff A, an RN, was unsure about the policy regarding the storage and destruction of hospice medications. The Individual Resident Controlled Substance Record (IRCSR) showed discrepancies in the documentation and verification of the destruction of Ativan, with 14 tablets delivered and unused, and another 14 tablets delivered with only three used and 11 destroyed. The Director of Nursing (DON) and Administrator acknowledged the process for destroying controlled medications was not followed as required. For Resident #5, who had severe cognitive deficits and was on high-risk medications, the facility failed to document the disposition of Tramadol after it was discontinued. The IRCSR revealed that 30 Tramadol tablets were delivered, with 21 destroyed, but the remaining doses were not accounted for, and a second nurse signature was missing. Another IRCSR showed 30 tablets delivered and destroyed with only one nurse signature and no disposition noted. The DON acknowledged the errors in documentation and the lack of awareness among nurses regarding the discontinuation of medications. The facility's policy required strict protocols for documenting the removal and disposal of controlled substances, including having a witness and both parties signing off in the controlled substance log.
Inaccurate Documentation of Medication Administration
Penalty
Summary
The facility failed to ensure accurate and complete resident records for one resident, who had a change in medication with an increased dose. Despite the medication not being administered, staff documented that the resident did not have an adverse reaction to the increased dose. This discrepancy was identified during a review of the Medication Administration Record (MAR) and Nursing Progress Notes, which showed that the rivastigmine patch was unavailable and not given on multiple dates, yet staff recorded no adverse reactions. The resident involved had severe cognitive deficits and was on high-risk medications, including a diuretic, opioid, and antiplatelet, with diagnoses such as heart failure, hypertension, diabetes mellitus, and Alzheimer's Disease. The facility's policy required accurate and timely documentation, but the automatic alerts in the electronic charting system were not used correctly, leading to inaccurate documentation. Both a Licensed Practical Nurse and the Director of Nursing acknowledged the presence of an automatic assessment feature in the electronic charting system, which was not utilized properly, contributing to the deficiency.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 97 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Sioux City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| St Luke's Regional Medical Center Snf | 3.5 mi | ★★★★★ | 0 | 0 |
| Continental Springs, Llc | 3.6 mi | ★★★★★ | 10 | 0 |
| Adept Nursing & Rehab Of South Sioux City | 4.1 mi | ★★★★★ | 7 | 0 |
| Accura Healthcare Of Sioux City, Llc | 4.6 mi | ★★★★★ | 10 | 0 |
| Holy Spirit Retirement Home | 5.5 mi | ★★★★★ | 10 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.