A list of the most recent deficiencies for Sherwood Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
---|---|---|---|---|
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-22 | 2023-01-09 | Y |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-06-17 | 2021-07-06 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2021-06-17 | 2021-07-06 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-17 | 2021-07-06 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-24 | 2021-07-01 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-24 | 2021-07-01 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-24 | 2021-07-01 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-17 | 2021-06-17 | N |
Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-06-12 | 2019-06-24 | N |
Provide family notifications of emergency plan. | Fire Safety | 2019-06-12 | 2019-06-24 | N |
Establish staff and initial training requirements. | Fire Safety | 2019-06-12 | 2019-06-24 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-06-12 | 2019-06-24 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-06-12 | 2019-06-24 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-06-12 | 2019-06-24 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-12 | 2019-06-24 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-12 | 2019-06-24 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-06-12 | 2019-06-24 | N |
Enure that solid fuel-burning fireplaces are not in patient sleeping areas. | Fire Safety | 2019-06-12 | 2019-06-24 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-12 | 2019-05-29 | N |
Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2019-04-12 | 2019-05-29 | N |
Keep residents' personal and medical records private and confidential. | Health | 2019-04-12 | 2019-05-29 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-04-12 | 2019-05-29 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-12 | 2019-05-29 | N |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-04-12 | 2019-05-29 | N |
Post nurse staffing information every day. | Health | 2019-04-12 | 2019-05-29 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-04-12 | 2019-05-29 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-12 | 2019-05-29 | N |
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-04-12 | 2019-05-29 | N |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-04-12 | 2019-05-29 | N |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-04-12 | 2019-05-29 | N |
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2019-04-12 | 2019-05-29 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-12 | 2019-05-29 | N |
Provide and implement an infection prevention and control program. | Health | 2019-04-12 | 2019-05-29 | N |
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-04-12 | 2019-05-29 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-23 | 2018-06-01 | N |
Provide and implement an infection prevention and control program. | Health | 2018-03-23 | 2018-06-01 | N |
Conduct testing and exercise requirements. | Fire Safety | 2018-04-04 | 2018-04-20 | N |
Implement emergency and standby power systems. | Fire Safety | 2018-04-04 | 2018-04-20 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-04-04 | 2018-04-20 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-04-04 | 2018-04-20 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2018-04-04 | 2018-04-20 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-04-04 | 2018-04-20 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-04 | 2018-04-20 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-04-04 | 2018-04-20 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-04 | 2018-04-20 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-04-04 | 2018-04-20 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-04 | 2018-04-20 | N |