Sunny Hill Care Center in Tama, IA was fined $24,756 by CMS across 2 separate penalties following 15 deficiency citations identified during federal surveys.

Sunny Hill Care Center (Tama, IA) — $24,756 in CMS Fines

Outcome: Sunny Hill Care Center in Tama, IA was fined $24,756 by CMS across 2 separate penalties following 15 deficiency citations identified during federal surveys.

Deficiency areas cited:

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.


• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.


• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.


• Have a plan that describes the process for conducting QAPI and QAA activities.


• Ensure services provided by the nursing facility meet professional standards of quality.


• Provide appropriate treatment and care according to orders, resident’s preferences and goals.


• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.


• Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.