CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Sherman Village Hcc
View the most recent health deficiencies and inspection results for Sherman Village Hcc. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Sherman Village Hcc. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2026-03-17 | 2026-03-27 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2026-02-21 | 2026-03-13 | Y |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2026-02-21 | 2026-03-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-11 | 2025-12-22 | Y |
| Provide activities to meet all resident's needs. | Health | 2025-12-11 | 2025-12-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-12-11 | 2025-12-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-12-11 | 2025-12-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-12-11 | 2025-12-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-12-03 | 2025-12-19 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-08-01 | 2025-08-31 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-08-01 | 2025-08-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-08-01 | 2025-08-31 | 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 | 2025-08-01 | 2025-08-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-01 | 2025-08-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-08-01 | 2025-08-31 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-08-01 | 2025-08-31 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2025-08-01 | 2025-08-31 | 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 | 2025-08-01 | 2025-08-31 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-08-01 | 2025-08-31 | 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 | 2025-08-01 | 2025-08-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-01 | 2025-08-31 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2025-08-01 | 2025-08-31 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2025-08-01 | 2025-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-01 | 2025-08-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-08-01 | 2025-08-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-01 | 2025-08-31 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-08-01 | 2025-08-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-01 | 2025-08-31 | Y |
| 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 | 2025-08-01 | 2025-08-31 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-08-01 | 2025-08-31 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-08-01 | 2025-08-31 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2025-08-01 | 2025-08-31 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-08-01 | 2025-08-31 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-08-01 | 2025-08-31 | 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 | 2025-08-01 | 2025-08-31 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2025-08-01 | 2025-08-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-08-01 | 2025-08-31 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-08-01 | 2025-08-31 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-08-01 | 2025-08-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-08-01 | 2025-08-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-08-01 | 2025-08-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-01 | 2025-08-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-08-01 | 2025-08-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-11 | 2025-08-11 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-04-16 | 2025-05-02 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-11-19 | 2024-12-05 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-11-19 | 2024-12-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-11-19 | 2024-12-05 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-09-06 | 2024-09-23 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-09-06 | 2024-09-23 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-09-06 | 2024-09-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-06 | 2024-09-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-06 | 2024-09-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-06 | 2024-09-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-06 | 2024-09-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-06 | 2024-09-23 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-09-06 | 2024-09-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-09-06 | 2024-09-23 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-09-06 | 2024-09-23 | 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 | 2024-09-06 | 2024-09-23 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-09-06 | 2024-09-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-06 | 2024-09-23 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-09-06 | 2024-09-23 | 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 | 2024-09-06 | 2024-09-23 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-09-06 | 2024-09-23 | Y |
| 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. | Health | 2024-09-06 | 2024-09-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-09-06 | 2024-09-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-09-06 | 2024-09-23 | 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 | 2024-09-06 | 2024-09-23 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-09-06 | 2024-09-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-06 | 2024-09-23 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-09-06 | 2024-09-23 | N |
| Dispose of garbage and refuse properly. | Health | 2024-09-06 | 2024-09-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-06 | 2024-09-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-09-06 | 2024-09-23 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-09-06 | 2024-09-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-09-06 | 2024-09-23 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-06 | 2024-09-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-09-06 | 2024-09-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-27 | 2024-09-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-27 | 2024-09-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-27 | 2024-09-09 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-08-27 | 2024-09-09 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-27 | 2024-09-09 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-08-27 | 2024-09-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-27 | 2024-09-09 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-08-06 | 2024-08-22 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-07-26 | 2024-08-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-07 | 2024-05-15 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-04-17 | 2024-04-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-11 | 2024-04-23 | Y |
| 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 |
| Post nurse staffing information every day. | Health | 2023-08-22 | 2023-09-14 | 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 |
| Provide and implement an infection prevention and control program. | 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 |
| 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 |
| Ensure medication error rates are not 5 percent or greater. | 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 |
| Provide safe and appropriate respiratory care for a resident when needed. | 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 |
| 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 pressure ulcer care and prevent new ulcers from developing. | 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 |
| 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 |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-17 | 2022-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-17 | 2022-04-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-17 | 2022-04-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-17 | 2022-04-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-03-17 | 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 | 2022-03-17 | 2022-04-14 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-03-17 | 2022-04-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-03-17 | 2022-04-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2026-04-22 | Not Fixed | Y |