A list of the most recent deficiencies for Sherwood Oaks. 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? |
|---|---|---|---|---|
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-06-02 | 2023-07-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-02 | 2023-07-06 | 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 | 2023-06-02 | 2023-07-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-02 | 2023-07-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-07 | 2023-07-06 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-07-29 | 2022-08-29 | 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 | 2022-08-08 | 2022-08-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-08 | 2022-08-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-08 | 2022-08-29 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-06-08 | 2021-08-06 | 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 | 2021-06-08 | 2021-08-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-08 | 2021-08-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-08 | 2021-08-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-08 | 2021-08-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-08 | 2021-08-06 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-06-08 | 2021-08-06 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-06-08 | 2021-08-06 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2021-06-08 | 2021-08-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-08 | 2021-08-06 | 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 | 2021-06-04 | 2021-07-21 | N |
