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Deficiency Records for Sheridan Health and Rehabilitation Center
View the most recent health deficiencies and inspection results for Sheridan Health and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Sheridan Health and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2026-01-08 | 2026-04-08 | 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 | 2026-01-08 | 2026-04-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-01-08 | 2026-04-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-01-08 | 2026-04-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-01-08 | 2026-04-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-01-08 | 2026-04-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-01-08 | 2026-04-08 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2026-01-08 | 2026-04-08 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2026-01-08 | 2026-02-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-08 | 2026-02-04 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-01-08 | 2026-02-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-01-08 | 2026-02-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-01-08 | 2026-02-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-01-08 | 2026-02-04 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2026-01-08 | 2026-02-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2026-01-08 | 2026-02-04 | 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 | 2026-01-08 | 2026-02-04 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2026-01-08 | 2026-02-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-01-08 | 2026-02-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2026-01-08 | 2026-02-04 | 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 | 2026-01-08 | 2026-02-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2026-01-08 | 2026-02-04 | 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 | 2025-05-29 | 2025-06-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-05-29 | 2025-06-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-05-29 | 2025-06-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-05-29 | 2025-06-18 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-08-22 | 2025-01-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-19 | 2024-12-19 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-11-19 | 2024-12-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-11-19 | 2024-12-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-11-19 | 2024-12-19 | 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 | 2024-11-19 | 2024-12-19 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-11-19 | 2024-12-19 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-11-19 | 2024-12-19 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-08-22 | 2024-10-11 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-08-22 | 2024-09-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-22 | 2024-09-26 | N |
| 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 | 2024-08-22 | 2024-09-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-22 | 2024-09-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-08-22 | 2024-09-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-08-22 | 2024-09-05 | 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 | 2024-08-22 | 2024-09-05 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-08-22 | 2024-09-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-08-22 | 2024-09-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-22 | 2024-08-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-22 | 2024-08-31 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-08-22 | 2024-08-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-22 | 2024-08-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-22 | 2024-08-26 | 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 | 2024-08-22 | 2024-08-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-22 | 2024-07-24 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-06-22 | 2024-07-24 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-06-22 | 2024-06-26 | Y |
| 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 | 2023-07-13 | 2023-09-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-13 | 2023-08-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-13 | 2023-08-06 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-07-13 | 2023-08-06 | N |
| Have an externally vented heating system. | Fire Safety | 2023-07-13 | 2023-08-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-13 | 2023-08-06 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-07-13 | 2023-08-06 | N |
| 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 | 2023-07-13 | 2023-08-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-13 | 2023-08-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-07-13 | 2023-08-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-13 | 2023-08-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-13 | 2023-08-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-13 | 2023-08-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-13 | 2023-08-03 | Y |