A list of the most recent deficiencies for Sherwood Manor Nursing Home. 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 that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-01-03 | 2024-01-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-03 | 2023-09-08 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-08-03 | 2023-09-08 | 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 | 2023-08-03 | 2023-09-08 | 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 | 2023-08-03 | 2023-09-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-03 | 2023-09-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-03 | 2023-09-08 | 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 | 2023-08-03 | 2023-09-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-03 | 2023-09-08 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-08-03 | 2023-09-08 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-04-22 | 2021-07-15 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-04-21 | 2021-07-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-04-21 | 2021-07-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-04-21 | 2021-07-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-04-22 | 2021-06-15 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2021-04-22 | 2021-06-10 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-04-22 | 2021-06-10 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-04-22 | 2021-06-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-22 | 2021-06-10 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2019-01-30 | 2019-03-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-05 | 2019-03-15 | 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 | 2019-02-05 | 2019-03-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-02-05 | 2019-03-08 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-02-05 | 2019-03-05 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-02-05 | 2019-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-05 | 2019-02-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-05 | 2019-02-28 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-02-05 | 2019-02-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-05 | 2019-02-25 | 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 | 2019-02-05 | 2019-02-25 | 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 | 2019-02-05 | 2019-02-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-05 | 2019-02-25 | N |
