Green House Living for Sheridan

In the surveyor’s words

From the most serious findings on record at Green House Living for Sheridan, in the surveyor’s own words.

• Actual harm, isolatedF689Nov 19, 2025

  Based on medical record review, resident representative and staff interview, facility incident review, and root cause analysis review, the facility failed to ensure adequate supervision to prevent accidents for 1 of 6 sample residents (#1) reviewed for incidents and accidents. This failure resulted in actual harm to resident #1. Corrective measures were implemented prior to the survey and compliance was determined to be met on 11/12/25 The findings were:1. Review of the admission MDS assessment dated [DATE] showed resident #1 had a brief interview for mental status score of 11 out 15, which indicated moderate cognitive impairment, and diagnoses which included progressive neurological conditions. […]

• Actual harm, isolatedF692Mar 13, 2025

  Based on observation, medical record review, staff interview, and policy and procedure review, the facility failed to maintain acceptable parameters of nutritional status for 1 of 2 sample residents (resident #4) with nutritional status concerns. This failure resulted in harm to resident #4 who experienced severe weight loss. The findings were: 1. Review of the annual MDS assessment dated [DATE] showed resident #4 had a BIMS score of 8 out of 15, which indicated moderate cognitive impairment, and diagnoses which included dementia, depression, and chronic obstructive pulmonary disease. Review of the physician orders showed a regular fortified low sodium diet with snacks 3/8/23. […]

• Actual harm, isolatedF658Feb 1, 2024

  Based on medical record review, staff interview, facility investigation review, performance improvement plan review, professional standard review, and policy review, the facility failed to ensure timely care and treatment was provided for 1 of 5 sample elders (#90) reviewed for skin conditions. This failure resulted in actual harm to elder #90 who developed a wound infection and had delayed hospitalization . Corrective measures were implemented by the facility prior to the survey and compliance was determined to be met on 1/5/24. The findings were: 1. […]

• Actual harm, isolatedF684Feb 1, 2024

  Based on medical record review, staff interview, facility investigation review, performance improvement plan review, and policy review, the facility failed to implement interventions and treatment to prevent the deterioration of wounds for 1 of 5 sample elders (#90) reviewed for skin conditions. This failure resulted in actual harm to elder #90 who developed a wound infection and had delayed hospitalization . Corrective measures were implemented by the facility prior to the survey and compliance was determined to be met on 1/5/24. The findings were: 1. […]

• Actual harm, isolatedF622Mar 31, 2023

  Based on review of medical records, and staff and elder representative interview, the facility failed to demonstrate the need for an elder to be discharged due to a facility inability to meet their needs for 1 of 6 (#6) elders reviewed for transfer or discharge. This failure resulted in harm to elder #6, who was discharged from the hospital to a different nursing home and was unable to return to his/her home at the facility as desired; events a reasonable person would find distressing. The findings were: Review of the 10/28/22 admission minimum data set assessment showed elder #6 was admitted to the facility on [DATE]. Review of a progress note dated 10/20/22 and timed 9:38 AM showed the elder had a BIMS score of 8 of 15, indicating moderate cognitive impairment. […]