A list of the most recent deficiencies for Sherman Village Hcc. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-22 | 2023-09-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-22 | 2023-09-14 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-08-22 | 2023-09-14 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-08-22 | 2023-09-14 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-08-22 | 2023-09-14 | Y |
| Post nurse staffing information every day. | Health | 2023-08-22 | 2023-09-14 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-06 | 2023-04-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-27 | 2023-04-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-28 | 2023-01-20 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-11-26 | 2022-12-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-26 | 2022-12-23 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-11-26 | 2022-12-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-28 | 2022-12-16 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-11-28 | 2022-12-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-28 | 2022-12-12 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-09-16 | 2022-10-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-10 | 2022-08-22 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-03 | 2022-08-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-03 | 2022-08-12 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-08-03 | 2022-08-12 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-06-29 | 2022-07-18 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-10 | 2022-06-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-10 | 2022-06-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-17 | 2022-04-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-17 | 2022-04-15 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-03-17 | 2022-04-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-17 | 2022-04-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-17 | 2022-04-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-17 | 2022-04-15 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-03-17 | 2022-04-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-17 | 2022-04-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-17 | 2022-04-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-17 | 2022-04-15 | 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 | 2022-03-17 | 2022-04-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-17 | 2022-04-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-17 | 2022-04-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-03-23 | 2022-04-14 | 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 | 2022-03-23 | 2022-04-14 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-03-23 | 2022-04-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-03-23 | 2022-04-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-23 | 2022-04-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-23 | 2022-04-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-23 | 2022-04-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-05 | 2022-01-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-16 | 2021-12-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-16 | 2021-12-28 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2021-12-16 | 2021-12-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-25 | 2021-11-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-25 | 2021-11-04 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-10-25 | 2021-11-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-21 | 2021-05-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-21 | 2021-05-28 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-04-05 | 2019-04-29 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-04-05 | 2019-04-29 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-04-05 | 2019-04-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-04-05 | 2019-04-29 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-04-05 | 2019-04-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-04-05 | 2019-04-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-05 | 2019-04-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-04-05 | 2019-04-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-04-05 | 2019-04-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-05 | 2019-04-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-05 | 2019-04-29 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-04-05 | 2019-04-29 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2019-04-05 | 2019-04-29 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-04-05 | 2019-04-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-05 | 2019-04-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-05 | 2019-04-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-04-05 | 2019-04-26 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-04-05 | 2019-04-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-05 | 2019-04-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-05 | 2019-04-26 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-04-05 | 2019-04-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-05 | 2019-04-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-04-05 | 2019-04-26 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-04-05 | 2019-04-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-05 | 2019-04-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-05 | 2019-04-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-04-20 | 2018-05-17 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-04-20 | 2018-05-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-04-20 | 2018-05-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-20 | 2018-05-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-04-20 | 2018-05-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-04-20 | 2018-05-17 | 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 | 2018-04-20 | 2018-05-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-20 | 2018-05-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-20 | 2018-05-17 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-04-18 | 2018-05-17 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-04-18 | 2018-05-17 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-04-18 | 2018-05-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-04-18 | 2018-05-17 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-04-18 | 2018-05-17 | N |
| Construct fire resistant interior walls. | Fire Safety | 2018-04-18 | 2018-05-17 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2018-04-18 | 2018-05-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-04-18 | 2018-05-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-04-18 | 2018-05-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-18 | 2018-05-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-18 | 2018-05-17 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-04-18 | 2018-05-17 | N |
