Average — CMS composite of the measures below.
A standard survey is most likely before around August 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 Sun Dial Manor during CMS and state inspections, most recent first.
A resident with exit-seeking behaviors eloped from the facility on four separate occasions, including times when the resident slipped out as others entered, exited through an alarmed door, and was let out by an assisted living resident. Although the resident was quickly found and assessed without injury, the facility failed to conduct and document thorough investigations for most of these events. Key witnesses, including CNAs, family members, and the staff who found the resident, were not interviewed or asked to complete witness statements, and investigation records lacked basic details such as who discovered the resident. Interviews showed that the interim DON was unaware of existing witness statement forms, there was no formal investigation process in use, and required policy elements for incident investigations—such as interviewing all involved staff, residents, and families—were not followed.
The facility failed to implement proper infection control measures for residents with MDROs and indwelling devices. A resident with a suprapubic catheter was not placed on EBP, and two residents with MDRO infections were not on contact precautions. Observations showed missing precaution signs and inconsistent use of gowns by staff, despite the presence of open wounds and catheters. Interviews revealed that maintenance activities affected signage, and the facility's policies were not consistently followed.
A resident with severe cognitive impairment fell from an electric lift chair, sustaining a laceration to her temple, due to the absence of safety policies and assessments for the use of such devices. The facility lacked policies regarding electric lift chairs, and the resident's access to the chair's remote was not restricted, leading to the incident.
The facility failed to assess lift recliner chairs and specialty wheelchairs for six severely cognitively impaired residents, leading to a fall incident. The absence of a policy for evaluating assistive devices as potential restraints was confirmed by the administrator and DON. Observations showed accessible chair remotes for residents with severe cognitive impairments, and one resident using a specialty wheelchair was not evaluated for its appropriate use.
Failure to Thoroughly Investigate and Document Multiple Resident Elopements
Penalty
Summary
The deficiency involves the facility’s failure to thoroughly investigate and document four elopement incidents involving one resident with exit-seeking behaviors. The resident left the building without staff knowledge on four separate occasions. During the first elopement, the resident exited when another family was entering the building and was outside for less than 10 minutes before staff were alerted by another resident’s family. Although staff witness statements from two CNAs were obtained, there was no documentation that the family who observed and reported the elopement was interviewed, and no additional investigation materials were present beyond what was in the facility reported intake. For the second elopement, the resident exited through a door that alarmed appropriately, and staff immediately returned the resident to the building after less than a minute outside. However, the report for this incident did not include any investigation actions such as obtaining witness statements from staff or family present at the time, nor evidence that other potential contributing factors, such as changes in mood or medications, were explored. During the third elopement, the resident was let out of the building by a resident from the attached assisted living center and was later found outside walking with another resident. The report did not specify which staff member found the resident, and no witness statements were gathered from staff or others present, including the CNA who saw the resident outside from her car and used her radio to notify staff, and another CNA who helped coax the resident back inside; both confirmed they were not interviewed and did not complete witness statements. During the fourth elopement, an LPN and a CNA responded to a front door alarm in the early morning hours, noted the resident’s room door open, and initiated a search. The CNA located the resident outside while the LPN was on the phone with emergency services, and the resident was assessed with no injuries and normal vital signs. Despite these events, the investigation records for this incident contained no witness statements from the involved staff. Interviews with the interim DON and administrator revealed there was no formal investigation form in use, the interim DON was unaware of existing witness statement forms, and investigations were being handled through progress notes and monitoring forms rather than a structured process. Facility policies on missing residents and abuse/neglect required detailed incident documentation and interviews of all involved staff, residents, and families, but the investigation team membership was not defined, and these policy expectations were not followed for the resident’s repeated elopements.
Inadequate Infection Control Measures for Residents with MDROs and Catheters
Penalty
Summary
The facility failed to implement appropriate infection prevention and control measures for residents with specific medical conditions requiring enhanced barrier precautions (EBP) and contact precautions. One resident with a suprapubic catheter was not placed on EBP, and two residents with multi-drug resistant organism (MDRO) infections were not placed on contact precautions. Observations revealed that there were no precaution signs on the doors of the affected residents, and staff did not consistently wear gowns when providing care, despite the presence of open, draining wounds and indwelling medical devices. Resident 2, who had a history of MRSA and open, draining wounds on her scalp, was not placed on contact precautions. During an observation, staff assisting her did not wear gowns, and her care plan did not indicate the need for transmission-based precautions. Similarly, Resident 3, who had a suprapubic catheter, was not placed on EBP, and staff only wore gowns during catheter care. His care plan also lacked the indication for EBP. Resident 1, who had chronic wounds and was on antibiotics for MRSA, was placed on EBP, but the necessary signage was missing from his door. Interviews with staff, including the Director of Nursing and the infection preventionist, revealed that there was an expectation for staff to use EBP and contact precautions for residents with wounds or indwelling devices. However, due to maintenance activities such as painting, some precaution signs were not present on residents' doors. The facility's policies outlined the need for EBP and transmission-based precautions, but these were not consistently implemented, leading to the deficiencies observed.
Resident Falls from Electric Lift Chair Due to Lack of Safety Policies
Penalty
Summary
A deficiency was identified in a nursing home where a resident with severe cognitive impairment fell from an electric lift chair, resulting in a laceration to her left temple that required sutures. The incident occurred when the chair was raised to its highest position, and the resident was found on the floor with blood surrounding her head. The resident's cognition score indicated severe cognitive impairment, and prior to the fall, there was no care plan in place to prevent her access to the chair's remote control. The facility's staff, including the MDS coordinator/infection preventionist, responded by assessing the resident and arranging for her transport to the emergency department for treatment. Interviews with the facility's DON and MDS coordinator revealed that there were no existing policies or safety assessments regarding the use of electric lift chairs or other assistive devices. The DON acknowledged the absence of such policies and the need for staff to assess a resident's ability to use the lift chair's remote control. The facility's electronic medical record system included an Assistive Device Assessment, which the DON agreed would be useful for determining the appropriateness of lift chair use by residents. The lack of policies and assessments contributed to the incident, as the resident's access to the chair remote was not restricted prior to the fall.
Failure to Assess Lift Recliner Chairs and Specialty Wheelchairs as Potential Restraints
Penalty
Summary
The facility failed to ensure that six of twelve severely cognitively impaired residents who had lift recliner chairs in their rooms were assessed for appropriate use and potential restraint. One resident was found on the floor with a laceration to her left temple after falling from a lift recliner chair, which was at its highest position. This incident highlighted the lack of safety assessments prior to the use of lift chairs, especially for residents who are not cognitively intact and have access to their chair remotes. Additionally, the facility did not have a policy regarding the assessment of assistive devices to determine if their use would be considered a restraint. Interviews with the administrator and director of nursing confirmed the absence of such a policy. Observations revealed that several residents with severe cognitive impairments had lift recliner chairs with remotes accessible, yet no assessments had been completed to determine if these chairs were considered restraints. Furthermore, the facility failed to assess the use of specialty wheelchairs as potential restraints. One resident using a specialty wheelchair had not been evaluated for its appropriate use, despite other residents having been assessed by occupational therapy. The facility's existing policy on abuse and neglect emphasized the need for a safe environment and adequate supervision, but it did not specifically address the assessment of assistive devices as potential restraints.
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Illustrative
What surveyors actually found near you
We read the 19 citations issued within 25 miles in the last 12 months — 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.
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Bristol
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Bethesda Home | 10.6 mi | ★★★★★ | 8 | 0 |
| Strand-kjorsvig Community Rest Home | 16.3 mi | ★★★★★ | 0 | 0 |
| Avantara Groton | 18.6 mi | ★★★★★ | 11 | 0 |
| Wheatcrest Hills Healthcare Center | 30.9 mi | ★★★★★ | 4 | 0 |
| Avantara Clark City | 31.7 mi | ★★★★★ | 7 | 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.