Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Sunny Hill Care Center during CMS and state inspections, most recent first.
The facility did not ensure that an area was free from accident hazards and failed to provide adequate supervision to prevent accidents. Surveyors observed environmental hazards and insufficient staff monitoring, leading to increased risk for residents.
The facility failed to include residents in the care planning process, as identified in a previous deficiency. Despite a corrective response, interviews with two cognitively intact residents revealed they were not aware of or involved in care plan meetings. The facility's policy required resident participation, but this was not implemented effectively.
The facility failed to ensure resident participation in care planning meetings for two residents with intact cognition. Both residents had care conference forms that lacked documentation of their involvement, and they reported not being aware of or participating in any care plan meetings. The facility's policy required resident awareness of such meetings, but this was not followed, as confirmed by the administrator.
A facility failed to notify the Long-Term Care Ombudsman of a resident's unplanned discharges to the hospital, as required by federal regulation. The resident was hospitalized twice and reentered the facility shortly after each discharge. The facility's Discharge Tracking form lacked documentation of these discharges, and the Administrator acknowledged the oversight. The facility's policy requires notification of all monthly discharges to the Ombudsman, which was not followed.
A resident with ALS, heart failure, and diabetes was left on the toilet for 2.5 hours due to a malfunctioning call light system. Despite being dependent on staff for transfers, the resident was not checked on as required by facility policy. Staff interviews confirmed the call light battery was changed and tested earlier, but it failed, leaving the resident upset and unattended.
Failure to Maintain Safe Environment and Supervision
Penalty
Summary
The facility failed to ensure that an area was free from accident hazards and did not provide adequate supervision to prevent accidents. Surveyors observed that the environment contained hazards that could lead to resident accidents, and staff did not implement sufficient measures to monitor or protect residents from these risks. This deficiency was identified based on direct observations and findings during the survey, which indicated lapses in maintaining a safe environment and in providing necessary supervision to prevent accidents.
Failure to Include Residents in Care Planning Process
Penalty
Summary
The facility failed to ensure an effective Quality Assurance Performance Improvement (QAPI) process by not including residents in the care planning process, as identified in a previous deficiency during the facility's prior recertification. The CMS-2567 form from the recertification survey dated 12/8/22 highlighted a deficient practice where residents were not participating in quarterly interdisciplinary meetings for care planning. Despite a corrective response from the facility dated 1/1/23, which included plans to invite residents to these meetings, interviews with residents indicated a lack of awareness and participation in care planning discussions. Specifically, two residents with intact cognitive assessments, as indicated by their Brief Interview for Mental Status (BIMS) scores of 15 out of 15, reported not being involved in care plan meetings. One resident, interviewed on 2/3/25, was unaware of any care plan discussions or meetings, while another resident, interviewed on the same day, could not recall participating in any such meetings. The facility's policy stated that residents and/or their representatives are crucial members of the care planning team and should be informed of meeting dates and times. However, the facility's failure to adhere to this policy resulted in the deficiency.
Failure to Ensure Resident Participation in Care Planning Meetings
Penalty
Summary
The facility failed to ensure resident participation in quarterly interdisciplinary team meetings for care planning for two residents. Resident #31, with diagnoses including anemia, heart failure, peripheral vascular disease, anxiety, and depression, had a BIMS score indicating intact cognition. Despite this, the Care Conference Summary form for Resident #31 showed that the section for resident discussion and agreement was left blank, and the resident reported not being aware of or participating in any care plan meetings. Similarly, Resident #38, with diagnoses of anemia, atrial fibrillation, inflammatory bowel disease, and obstructive uropathy, also had a BIMS score indicating intact cognition. The Care Conference Summary form for Resident #38 had a vertical line drawn through the section for resident discussion, and the resident could not recall any care planning discussions or meetings. The facility's policy stated that residents should be made aware of care meetings, but this was not followed, as confirmed by the administrator, who acknowledged that the previous Director of Nursing did not adhere to best practices for resident inclusion.
Failure to Notify Ombudsman of Resident Discharges
Penalty
Summary
The facility failed to notify the Long-Term Care Ombudsman of the discharge or transfer of a resident as required by federal regulation. Specifically, the facility did not document the unplanned discharges of a resident to the hospital on two separate occasions. The resident was hospitalized and then reentered the facility shortly after each discharge. The facility's Discharge Tracking form, which is used for Ombudsman notification, lacked documentation of these discharges. The Administrator acknowledged the omission during an interview, noting that the information is typically obtained from electronic medical records and manually recorded. The facility's policy, dated 2018, mandates notification of all monthly discharges to the Ombudsman, which was not adhered to in this case.
Resident Left Unattended Due to Call Light Malfunction
Penalty
Summary
The facility failed to provide adequate supervision and timely assistance to a resident with amyotrophic lateral sclerosis (ALS), heart failure, and diabetes, who was dependent on staff for transfers and position changes. The resident, who had intact cognition, was left on the toilet for 2.5 hours due to a malfunctioning call light system. Staff A, a CNA, reported that during a shift change, the resident was assisted to the toilet, but the call light did not turn back on. The resident was found by staff after banging for attention, and it was discovered that the call light did not work properly. Staff interviews revealed that the call light malfunction was not intentional, and the resident was upset about the incident. Staff B, an RN, confirmed that the call light battery had been changed and tested earlier in the day, but it failed to work when needed. The facility's policy required staff to check on residents every 15 minutes during toileting, but this was not adhered to, leading to the resident being left unattended for an extended period.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Tama
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Accura Healthcare Of Toledo | 0.8 mi | — | 10 | 0 |
| Westbrook Acres | 16 mi | — | 8 | 0 |
| Sunrise Hill Care Center | 16 mi | — | 7 | 0 |
| Harmony Marshalltown | 16.6 mi | — | 17 | 0 |
| Belle Plaine Specialty Care | 17.1 mi | — | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.