Sunnyview Nursing Home & Apartments
Inspection Findings
F-Tag F0657
F 0657 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Based on record review and interview the facility failed to ensure staff followed facility's policy to timely update one Resident's care plan (Resident #15) out of the 14 sampled residents after the resident eloped from the facility. The facility census was 56. Review of the facilities Emergency Procedure- Missing Resident policy, not dated, showed:-Nursing staff is tasked with updating the care plan after a resident who eloped is found;-The DON is to ensure the care plan is updated. 1.Review of Resident #15's care plan, updated on 08/03/2025, showed:-The resident was at an increased risk for wandering related to repeated attempts to exit the facility;-The resident had impaired decision making related to dementia;-The resident had a diagnosis of depression;-The resident's care plan had not been updated after the resident eloped on 09/13/2025. Review of nursing progress notes, dated 9/19/25 at 8:00 P.M showed the resident eloped out
the door on the 100 hall without his/her walker. The resident was then later found behind the facility 25 minutes later without his/her wander guard bracelet ( A device that alarms when getting to close to an exit door. ) on. During an interview on 9/19/2025 at 9:04 A.M., RN A said that he/she was there the night that resident had eloped and had seen him that night on 9/13/25 on the 100 hall around 8:00 P.M. with his/her walker, later that night he/she went to give him his/her medications and could not find him/her. RN A said there was an order on the resident's MAR (Medication Administration Record) to check the wonder guard shiftily and during report he/she was notified that the resident had a wander guard, but he/she had not had
a chance to check it that night. During an interview on 09/19/2025 at 10:04 A.M. the DON (Director of Nursing) said no new measures to prevent the resident from eloping again had been put into place on the care plan after the resident eloped on 09/13/2025. The residents care plan should have been updated regarding the resident's new exit seeking behaviors. During an interview on 09/19/2025 at 10:41 A.M. the MDS (Minimum Data Set) Coordinator said:-The care plan was not updated after the resident eloped on 09/13/2025 and should have been;-The charge nurse on duty during the event was responsible for updating
the care plan when an elopement occurs.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
SUNNYVIEW NURSING HOME & APARTMENTS in TRENTON, MO 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 TRENTON, MO, (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 SUNNYVIEW NURSING HOME & APARTMENTS or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.