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Deficiency Records for Sherwood Healthcare Center
A list of the most recent deficiencies for Sherwood Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Sherwood Healthcare Center. 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? |
|---|---|---|---|---|
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-05-21 | 2024-06-05 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-05-21 | 2024-06-05 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2024-05-21 | 2024-06-05 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-05-21 | 2024-06-05 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-05-21 | 2024-06-05 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-05-21 | 2024-06-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-05-21 | 2024-06-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-05-21 | 2024-06-05 | 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 | 2024-05-21 | 2024-06-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-21 | 2024-06-05 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-05-21 | 2024-06-05 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-05-21 | 2024-06-05 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2024-05-21 | 2024-06-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-21 | 2024-06-05 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-05-21 | 2024-06-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-21 | 2024-06-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-05-21 | 2024-06-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-21 | 2024-06-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-05-21 | 2024-06-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-21 | 2024-06-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-21 | 2024-06-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-22 | 2023-01-09 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-06-17 | 2021-07-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-06-17 | 2021-07-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-17 | 2021-07-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-24 | 2021-07-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-24 | 2021-07-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-24 | 2021-07-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-17 | 2021-06-17 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-06-12 | 2019-06-24 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-06-12 | 2019-06-24 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-06-12 | 2019-06-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-12 | 2019-06-24 | 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 | 2019-06-12 | 2019-06-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-12 | 2019-06-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-12 | 2019-06-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-12 | 2019-06-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-06-12 | 2019-06-24 | N |
| Enure that solid fuel-burning fireplaces are not in patient sleeping areas. | Fire Safety | 2019-06-12 | 2019-06-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-12 | 2019-05-29 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2019-04-12 | 2019-05-29 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-04-12 | 2019-05-29 | 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 | 2019-04-12 | 2019-05-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-12 | 2019-05-29 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-04-12 | 2019-05-29 | N |
| Post nurse staffing information every day. | Health | 2019-04-12 | 2019-05-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-04-12 | 2019-05-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-12 | 2019-05-29 | 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 | 2019-04-12 | 2019-05-29 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-04-12 | 2019-05-29 | 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 | 2019-04-12 | 2019-05-29 | 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 | 2019-04-12 | 2019-05-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-12 | 2019-05-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-12 | 2019-05-29 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-04-12 | 2019-05-29 | N |
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