Sharon Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Oct 6, 2023

  Based on interview and record review the facility failed to protect residents right to be free from physical and mental abuse (willful infliction of injury, unreasonable confinement, intimidation or punishment with resulting physical harm, pain or mental anguish) by three facility employees for one of six sampled residents (Resident 1) on 7/6/2023 at 4:30 a.m., in accordance with facility's policy and procedures titled, Resident Rights Under Federal Law revised 3/1/2023, and Abuse Prohibition revised on 10/24/2022, by failing to: 1. Honor Resident 1's wishes when she stated to stop during the collection of urine sample using the straight catheter (a flexible tube placed in the bladder [body organ that stores urine] to obtain urine) without her consent. 2. […]

• Actual harm, isolatedF689Apr 30, 2026

  Based on interview and record review the facility failed to provide care and services to prevent a fall (unintentionally coming to rest on a lower-level surface) for one of three sampled residents (Resident 11) reviewed for accidents by failing to: -Ensure Certified Nursing Assistant 7 (CNA 7) provided a two-person physical assistance (help from two person) and use of a Hoyer Lift (a medical device designed to safely transfer residents with limited mobility between beds, chairs, and wheelchairs) to transfer Resident 11 from Resident 11's bed to the wheelchair on 4/20/2026 at 6:50 AM as indicated in Resident 11's care plan. […]

• Actual harm, isolatedF658Oct 6, 2023

  Based on interview and record review the facility failed to obtain physician's order to collect urine sample by straight catheter (a flexible tube placed in the bladder [body organ that stores urine] to obtain urine) for three of six sampled residents (Resident 1, Resident 2, and Resident 3) in accordance with the facility's policy and procedure (P&P) titled, Procedure Specimen (sample) Collection: Urine, revised on 2/1/2023, P&P titled, Physician Advanced Practice Provider (APP) Orders revised 3/1/2022, and P&P titled, Catheter: Urinary -Justification for Use, revised on 8/7/2023. 1. […]

• Actual harm, isolatedF686Jul 2, 2022

  Based on interview and record review, the facility failed to ensure one of five sampled residents (Resident 1), who had a pressure ulcer and was at risk for developing pressure ulcers (also called bedsores or pressure sores, are injuries to the skin and underlying tissue, primarily caused by prolonged pressure on the skin; usually affect people confined to bed or who sit in a chair or wheelchair for long periods of time), received the necessary care and services to prevent new ulcers from developing. The facility failed to: 1. […]

• Actual harm, isolatedF580Feb 27, 2022

  Based on interview and record review, the facility failed to immediately notify the physician when one of four sampled residents (Resident 17), who was totally dependent on staff for showering, sustained two episodes of almost falling in the shower room. On 11/10/2021, Resident 17 slid down twice from the shower chair (or bath chair allow resident to have a shower in the seated position; a shower chair is typically a four-legged chair with wheels usually made with a durable plastic seat) but did not fall onto the floor. The facility failed to: 1. […]