Sundance Creek Post Acute: Hoyer Lift Failures - CA
The resident, identified in federal inspection records only as Resident B, requires a Hoyer lift for all transfers because of her medical condition. She cannot move from her bed to her wheelchair without one. Her goal each afternoon was simple: be up by 1 p.m. so she could make the 1:30 p.m. smoking activity. On June 28, June 29, and June 30, 2025, the facility had no Hoyer lift available for her. She missed the activity all three days.
It wasn't the first time. Resident B told inspectors on July 23 that across her stay at the facility, there had been at least five occasions when she wasn't transferred to her wheelchair on time. Three of them happened in that single stretch at the end of June.
The smoker's log confirmed it. An activity assistant reviewed the log with inspectors that same afternoon and confirmed that Resident B was not recorded as attending the smoking activity on any of those three dates.
For residents in long-term care facilities, scheduled activities aren't a luxury. They are often the fixed points of a day that otherwise offers little variation, the difference between participating in something and spending another afternoon on the ceiling of a room. Resident B had identified the 1:30 smoking activity as something she wanted to attend. The facility knew this. Her care plan existed precisely to ensure she got there.
What the inspection found was a gap between what the plan promised and what the facility delivered. Sundance Creek's own policy on activities of daily living, updated as recently as April 2025, states that residents unable to carry out daily activities independently are to receive appropriate support and assistance, including with mobility and transfers. A separate facility policy on accommodation of needs, dated March 2021, states that individual resident needs and preferences are to be accommodated to the extent possible.
Three consecutive days without a working Hoyer lift is not an accommodation. It is an absence.
The inspection was conducted on August 12, 2025, following a complaint. CMS classified the violation as causing minimal harm or the potential for actual harm, and noted that few residents were affected. The citation falls under the federal requirement that nursing homes provide the necessary care and services for residents to maintain their ability to carry out daily activities.
What the classification doesn't capture is the texture of what those three days looked like for Resident B. She knew when 1:30 came and went. She knew what she was missing and why, and the reason wasn't her condition. The reason was that no one could produce the equipment her care required.
She told inspectors herself. She remembered the dates.
Federal inspections of nursing homes rely heavily on residents willing to speak up, to name the days, to sit across from a stranger with a clipboard and explain what didn't happen and when. Resident B did that. She gave inspectors June 28, June 29, and June 30 without hesitation, and the activity log backed her up.
The facility's response to the citation was not included in the inspection report.
Sundance Creek Post Acute is a post-acute and long-term care facility in Banning, in Riverside County. The August inspection was complaint-driven, meaning someone had already raised a concern before the inspector walked through the door.
Resident B said she preferred to be up by 1 p.m. That preference was documented. That preference was known. For at least five occasions during her stay, and three days running at the end of June, it didn't matter.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Sundance Creek Post Acute from 2025-08-12 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
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Last verified: November 3, 2026 · Our methodology
SUNDANCE CREEK POST ACUTE in BANNING, CA was cited for violations during a health inspection on August 12, 2025.
The resident, identified in federal inspection records only as Resident B, requires a Hoyer lift for all transfers because of her medical condition.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.