Shaire Nursing Center

In the surveyor’s words

From the most serious findings on record at Shaire Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF564Sep 3, 2021

  Based on observation, record review, resident, family, and staff interviews the facility imposed a restricted visitation schedule that limited indoor and outdoor visitation of family and friends for 4 of 38 residents reviewed for visitation. (Resident #5, #20, #26 and #39). This facility practice had the potential to affect all residents. Findings included: 1. Resident #26 was admitted to the facility on [DATE] and was coded as being cognitively intact. Interview with Resident #26 who was cognitively intact on 8/31/21 at 3:13pm revealed her family could not come into the facility to visit. […]

• No harm, potential for more than minimal, patternF887Sep 11, 2026

  Based on record reviews and staff interviews, the facility failed to ensure residents were offered the COVID-19 vaccination for 5 of 5 residents reviewed for immunizations (Resident #3 Resident #4, Resident #9, Resident #24 and Resident #45).The findings included:A review of the Center for Disease Control (CDC) guidelines, dated 11/19/25, indicated that the CDC recommended a 2025 to 2026 COVID-19 vaccine for individuals that were age [AGE] and older, were at high risk for severe COVID-19, or had never received a COVID-19 vaccine. a. […]

• No harm, potential for more than minimal, patternF761Sep 3, 2021

  Based on observations and staff interviews, the facility failed to ensure the medication storage rooms were locked for 2 of 2 medication storage rooms (200 hall and the central medication storage room) reviewed for medication storage. The findings included: a. A continuous observation of the 200-hall medication storage room on 9/1/2021 from 10:25 AM to 10:41 AM revealed Nurse #1 left the medication storage room door propped open with a trash can. During the continuous observation Nurse #1 went to the restroom and then walked down the 200 hall before she came back to the medication storage room to close the door. During the observation, no one other than Nurse #1 entered the medication storage room. […]

• No harm, potential for more than minimal, isolatedF554Sep 11, 2026

  Based on observation, record review, staff and resident interviews, the facility failed to assess for the ability to self-administer medications for 2 of 2 residents reviewed for self-administration of medications (Resident #24 and Resident #14). The findings included: 1. Resident #24 was admitted to the facility on [DATE]. Review of Resident #24's physician orders revealed there were no orders for fluocinonide 0.05 % topical solution medication (used for scalp itching and irritation). There was an order dated 07/27/2026 for topical triple antibiotic (Neomycin-Bacitracin-Polymyxin) ointment to be applied as needed for lip sores and kept at bedside for the resident to apply. Review of Resident #24's medical record revealed he had not been assessed for self administration of medication. […]

• No harm, potential for more than minimal, isolatedF684Sep 11, 2026

  Based on record review, staff and Resident interviews, the facility failed to ensure a clinical assessment of injury was completed prior to transferring a resident by a mechanical lift after a fall. This deficient practice affected 1 of 3 residents reviewed for falls (Resident #45).Findings included:Resident #45 was admitted to the facility on [DATE] with diagnoses that included cardiomegaly (enlarged heart) and diabetes mellitus.Resident #45's quarterly Minimum Data Set assessment dated [DATE] revealed the Resident was cognitively intact and was dependent on rolling from side to side, transferring and ambulation and required a wheelchair.Review of Resident #45's care plan revised on 06/22/25 revealed the Resident was at risk for falls related to a self-care performance deficit. […]