A list of the most recent deficiencies for Sheridan County Hospital Ltcu. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-16 | 2023-09-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-16 | 2023-09-13 | 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 | 2023-08-16 | 2023-09-13 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-14 | 2022-10-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-14 | 2022-10-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-09-14 | 2022-10-11 | N |
| Provide appropriate foot care. | Health | 2022-07-14 | 2022-08-17 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-07-14 | 2022-08-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-14 | 2022-08-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-03-30 | 2021-04-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-30 | 2021-04-01 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2021-02-17 | 2021-03-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-02-17 | 2021-03-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-02-17 | 2021-03-15 | 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 | 2021-02-17 | 2021-03-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-02-17 | 2021-03-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-02-17 | 2021-03-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-02-17 | 2021-03-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-02-17 | 2021-03-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-01-26 | 2021-02-26 | N |
| Respond appropriately to all alleged violations. | Health | 2021-01-26 | 2021-02-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-01-26 | 2021-02-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-01-26 | 2021-02-26 | 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 | 2019-05-02 | 2019-05-29 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-12-04 | 2019-01-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-12-04 | 2019-01-03 | 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 | 2018-12-04 | 2019-01-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-12-04 | 2019-01-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-04 | 2019-01-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-12-04 | 2019-01-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-12-04 | 2019-01-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-12-04 | 2019-01-03 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2018-12-04 | 2018-12-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-12-04 | 2018-12-06 | N |
