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Complaint Investigation

Sunset Home

October 17, 2025 · Quincy, IL · 418 Washington Street
Citations 3
CMS Rating 1/5
Beds 132
Provider ID 145800
Healthcare Facility
Sunset Home
Quincy, IL  ·  View full profile →
Inspection Summary

SUNSET HOME in QUINCY, IL — inspection on October 17, 2025.

Found 3 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Immediate Jeopardy

jeopardy to resident health or safety

corrections on 10/17/25 at 9:04 AMThe Facility submitted the Abatement plan with corrections on 10/17/25 at 10:00 AMRegional Office submitted the Abatement plan with more corrections at 11:05 AMThe Facility submitted the Abatement plan with corrections at 11:21 AMThe Facility's Abatement plan was accepted on 10/17/25 at 11:43 AM.On 10/16/25 and 10/17/25 this surveyor confirmed through interview and record review that the facility took the following steps to remove the immediacy1.On 10/16/25: V1 (Administrator),V2 (Director of Nursing) and V3 (Assistant Director of Nursing) reviewed Abuse Policy and intervening and reporting with quiz; Stress and Burnout Handout, Coping with Workplace Stress, Training and Tips for Spotting Stress or Burnout with all on duty staff in person.

All staff not working on at the time were reached by phone and were educated.

Any staff who were not reachable will not be able to clock in for their next shift until V2 (DON) or V3 (ADON) provide the education and handouts.2.

The Abuse policy and intervening and reporting with quiz, Stress and Burnout Handout, Coping with Workplace Stress, Training and Tips for Spotting Stress or Burnout specific to intervention of preventing abuse and recognizing stress and burnout in co-workers and intervening was added to the orientation packet for new staff.3.On 10/16/25 An emergency QAPI (Quality Assurance and Performance Improvement) discussion was held with the Medical Director, V1 (Administrator),V2 (DON), V2 (ADON) and V32 (Social Service Director) to review the investigation findings and conclusion and review the QA audit tools for ongoing audit plan. QA Audit will be conducted of 5 residents and 5 staff per month by V2 (DON), V3 (ADON), V32 (Social Services Director) and/or designees about Abuse, Stress, and Burnout and concerns regarding any cares.

These audit tools will be reported monthly on the QAPI scorecard and reported at the QA meeting; 4.On 10/17/25 All residents with Alzheimer's Disease/Dementia were reviewed for At Risk for Abuse/Harm and any identified, care plan was be added and/or updated by V32 (SSD) .5. V1 (Administrator) and V2 (Director of Nursing) will meet monthly to review all audit findings for discussion for need, if any, for further training/education and/or policy review changes.Completion date 10/17/25

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/17/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Sunset Home

418 Washington Street Quincy, IL 62301

SUMMARY STATEMENT OF DEFICIENCIES

jeopardy to resident health or safety

for thorough investigation will be conducted with each allegation investigation.

These audit findings will be reported monthly on the QAPI scorecard and reported at the quarterly Quality assurance meeting.6. V1 ( Administrator) and V2 (DON)will meet monthly to review all audit findings and discuss, if any, possible further training/education or policy review changes need to occur. 7. R1's Care Plan was updated with at risk for abuse/harm and interventions by Social Service Director on 10/16/2025.Date of completion10/16/2025

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/17/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Sunset Home

418 Washington Street Quincy, IL 62301

SUMMARY STATEMENT OF DEFICIENCIES

Based on interview and record review the facility failed to ensure that Certified Nursing Assistant staff have had required 12 hours of in-service education.

This failure has the potential to affect all 88 residents residing in the facility.

Findings include: The facility policy titled, Abuse and Neglect, dated July 2023, documents not in its entirety, 3.) Aversion And Intervention of Abuse, a.

Preventing resident abuse is a primary concern for Sunset Home. It is our goal to achieve and maintain an abuse free environment. B.

Our abuse/intervention program may include but is not limited to: i.

Conducting conflict resolution training classes for all staff. vii.

Regularly scheduled in-service training programs designed to teach staff how to better understand the resident's abusive actions.

Facility Town Hall meeting in-service sign in sheet for abuse training dated 3/13/25 documents V5, V6, V13, V15, and V16 (all Certified Nursing Assistants) attended, Town Hall meeting in-service sign in sheet for abuse training dated 4/17/25 documents V4, V5, V13, V17, V18, V19, V20, V21, V22, V23, V24, V25, V26, V27, and V28 (all Certified Nursing Assistants) attended, Town Hall meeting in-service sign in sheet for abuse training dated 9/18/25 documents V4, V5, V11, V12, V13, V14, V15, V19, V20, V21, V22, V23, V27, V29, V30, and V31 (all Certified Nursing Assistants) attended. On 10/15/25 at 1:10 PM V2 (Director of Nursing/DON) stated she is not sure about dementia training for the Certified Nursing Assistants/CNA, but the abuse training is done in the Town Hall meetings, and she (V2/DON) stated she does skills in-services on various topics at the monthly CNA meetings. On 10/15/25 at 1:15 PM V1 (Administrator) stated that she was not sure if there is proof that the CNAs (Certified Nursing Assistant) have had the required 12 hours of yearly in-servicing/education but will check with Human Resources. V1 also stated she does not think there has been any dementia training in the one and half years she has been with the facility. On 10/15/25 at 2:20 PM V1 (Administrator) stated, I'm going to be honest with you we do not have any proof to show that the CNA (Certified Nursing Assistant) staff have had their 12 hours of training and unable to prove they all have had abuse and dementia training.

Facility ID:

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 QUINCY, IL, (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 SUNSET HOME or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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