Sunrise Point Health And Rehabilitation Center
Inspection Findings
F-Tag F0600
F 0600 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Kardex indicated she required two person assistance with the use of mechanical lift for transfers. *On 10/18/25 through 10-19-25, each resident's care plan and Kardex were reviewed to ensure accurate transfer status was reflected. *On 10/19/25 as part of the investigation process, residents were interviewed by the Social Services Director to determine if there were additional concerns of abuse or neglect with no findings. *On 10/19/25, the facility held an ad hoc QAPI meeting to review the progress of education and competency completion as well as quality reviews. The committee conducted a root cause analysis which determined the assigned CNA made an independent decision, chose to ignore her prior education and did not follow the resident's plan of care for safe transfers. The ad hoc QAPI committee including the Medical Director approved the recommendations. *On 10/20/25, resident #1 was seen by the provider. Her pain regime was reviewed and adjusted. The facility scheduled an orthopedic appointment for 10/24/25 as per
the physician order. *On 10/20/25, the former DON discussed transfer options to the hospital with resident #1. *On 10/21/25, the former DON spoke to the resident and resident voiced wanting to go to the hospital. *On 10/21/25, resident #1 was sent to the emergency room for evaluation due to uncontrolled pain related to the fracture. The resident returned to the facility. *On 10/21/25, resident #1's provider was contacted, and pain regimen was reviewed and adjusted. *On 10/17/25 through 10/21/25, the nursing staff were educated
on change in condition to include but not limited to accidents resulting in injury, offering resident to be transferred to higher level of care for further evaluation if serious injury, escalation to chain of command via nurse supervisor and/or DON if resident concern is not addressed, following resident care plan/Kardex, safe resident handing, mechanical lift usage and competencies. As of 10/21/25, 77 out of 92 nursing staff received education, (84%), The remaining 15 total nursing staff members to receive education prior to next shift worked. *On 10/17/25 through 10/21/25, facility staff were educated on abuse, neglect and exploitation by the Administrator, Staff Development Coordinator and Nurse Managers. As of 10/21/25, 111 out of 128 staff members received education, (86%). The remaining 17 total staff members to receive education prior to next shift worked. *Ad Hoc QAPI meetings were completed 10/20/25 and 10/21/25 with Medical Director, Administrator, and former DON where incident, abuse and neglect, use of mechanical lifts, transfer competencies, updating care plans/Kardex, change in condition, pain management and following care plans/Kardex were discussed. No recommended changes were made to the performance improvement plan. From 10/29/25 to 10/30/25, interviews were conducted with 18 staff members representing all shifts (1 Registered Nurse, 4 LPNs, 9 CNAs, 1 dietary, 2 environmental services and 1 activity aide/CNA). Staff interviews revealed they were knowledgeable of identifying abuse and neglect, following a resident's plan of care, safe handling of resident and who to report any violations or suspected violation. The resident sample was expanded during the survey to include five additional residents. Observations, interviews, and record reviews conducted revealed no concerns related to abuse and neglect, care plans and transfer status for residents #6 through #10.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
10/30/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Sunrise Point Health and Rehabilitation Center
1775 Huntington Lane Rockledge, FL 32955
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0689
F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
accidents resulting in injury, offering the resident to be transferred to higher level of care for further evaluation if serious injury, escalation to chain of command via nurse supervisor and/or DON if resident concern is not addressed, following resident care plan/Kardex, safe resident handing, mechanical lift usage and competencies. As of 10/21/25, 77 out of 92 nursing staff received education, (84%), The remaining 15 total nursing staff members would receive education prior to next shift worked. *Ad Hoc QAPI meetings were completed 10/20/25 and 10/21/25 with Medical Director, Administrator, and former DON where incident, abuse and neglect, use of mechanical lifts, transfer competencies, updating care plans/Kardex, change in condition, pain management and following care plans/Kardex were discussed. No recommended changes were made to the performance improvement plan. Interviews were conducted from 10/29/25 to 10/30/25 with 18 staff members representing all shifts (1 RN, 4 LPNs, 9 CNAs, 1 dietary, 2 environmental services and 1 activity aide/CNA). Staff interviews revealed they were knowledgeable of identifying abuse and neglect, following a resident's plan of care, safe handling of resident and who to report any violations or suspected violations. The resident sample was expanded during the survey to include five additional residents. Observations, interviews, and record reviews conducted revealed no concerns related to abuse and neglect, care plans and transfer status for residents #6 through #10.
Event ID:
Facility ID:
If continuation sheet
SUNRISE POINT HEALTH AND REHABILITATION CENTER in ROCKLEDGE, FL inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in ROCKLEDGE, FL, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from SUNRISE POINT HEALTH AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.