Sunny View Nursing Home

During a surveyor interview on 3/27/2026 at approximately 2:00 PM with both the Regional Administrator and the Regional Nurse, they were unable to provide evidence that the previous wander guard device was checked or tested for functionality upon the resident's return to the facility before it was disposed of.

They acknowledged that the resident had eloped from the facility and that they were unaware of his/her whereabouts for approximately six hours.

The Administrator further stated that it was unclear whether the wander guard system had failed, the alarm sounded but staff did not respond, or the visitor had entered the door code. He explained that although the resident was wearing the wander guard device, the door alarm would not activate if a visitor used the code to exit.

When asked why a visitor would have the door code, the Administrator confirmed that visitors should not be given the code, as they are not facility employees.

The facility failed to ensure the safety of Resident ID #1, who was identified as at risk for elopement.

Despite the resident wearing a wander guard device, the resident was able to leave the facility unsupervised for approximately six hours on 3/25/2026, during which time staff were unaware of his/her whereabouts.

The facility did not verify the functionality of the resident's wander guard device upon return, and the previous device was discarded without assessment.Interviews with staff and visitors confirmed that the resident exited the facility with a visitor through the main entrance/exit door, and the wander guard alarm did not activate.

Additionally, the facility was unable to provide documentation confirming that staff consistently monitored the resident in accordance with facility policy and physician orders.These failures placed the resident in at risk for serious injury, serious harm, serious impairment or death.