Deficiency Records for Sherman Village Hcc
Updated as of December 01, 2018
This is not the most recent data for Sherman Village Hcc. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 | 2017-04-11 | 2017-04-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-04-11 | 2017-04-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-04-11 | 2017-04-30 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-04-11 | 2017-04-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-04-11 | 2017-04-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-04-11 | 2017-04-30 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2017-04-11 | 2017-04-30 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2017-04-11 | 2017-04-30 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-04-07 | 2017-04-30 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-04-07 | 2017-04-30 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-04-07 | 2017-04-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-04-07 | 2017-04-30 | N |
| Maintain comfortable and safe temperature levels. | Health | 2017-04-07 | 2017-04-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-04-07 | 2017-04-30 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-07 | 2017-04-30 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-04-07 | 2017-04-30 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-04-07 | 2017-04-30 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2017-04-07 | 2017-04-30 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-07 | 2017-04-30 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-04-07 | 2017-04-30 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-04-07 | 2017-04-30 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-04-07 | 2017-04-30 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-04-07 | 2017-04-30 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-04-07 | 2017-04-30 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-04-07 | 2017-04-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-04-07 | 2017-04-30 | N |
| Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2017-04-07 | 2017-04-30 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-04-07 | 2017-04-30 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-08-12 | 2016-08-24 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-02-12 | 2016-03-14 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-02-12 | 2016-03-14 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-02-12 | 2016-03-14 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-02-12 | 2016-03-14 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-02-12 | 2016-03-14 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2016-02-12 | 2016-03-14 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-02-12 | 2016-03-14 | N |
| Properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2016-02-12 | 2016-03-14 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2016-02-17 | 2016-03-14 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2016-02-17 | 2016-03-14 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-02-17 | 2016-03-14 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-02-17 | 2016-03-14 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-17 | 2016-03-14 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-02-17 | 2016-03-14 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-02-17 | 2016-03-14 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2016-02-17 | 2016-03-14 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2016-02-17 | 2016-03-14 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-02-17 | 2016-03-14 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-02-17 | 2016-03-14 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-02-17 | 2016-03-14 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-17 | 2016-03-14 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-02-17 | 2016-03-14 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-02-17 | 2016-03-14 | Y |
