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.

• Actual harm, isolatedF684Apr 22, 2021

  Based on interview and record review, the facility failed to ensure resident-centered care and treatment was provided according to professional standards of practice and resident assessment when insulin was administered for one of three sampled residents (1) reviewed for quality of care. This failure placed residents at risk of adverse reactions to medication, unstable blood glucose levels, and a diminished quality of life. This caused harm to Resident #1 when staff checked the blood glucose before administering insulin, but failed to assess the safety of the insulin administration at the current blood glucose level resulting in the resident's emergent transport to the hospital for treatment. […]

• No harm, potential for more than minimal, widespreadF812Sep 12, 2025

  Based on observation and interview, the facility failed to ensure food items were labeled and dated when opened in 1 of 3 kitchen refrigerators, and in 1 of 2 nourishment refrigerators (East Hall) reviewed for food storage. The facility also failed to keep an accurate temperature log for 1 of 2 nourishment refrigerators (East Hall). These failures placed residents at risk for food borne illness, and a diminished quality of life.Findings included . During an observation on 09/08/2025 at 9:12 AM, the kitchen refrigerator on the left, was observed with the following expired, opened items: 1. Plastic Tupperware container of Parmesan Cheese- labeled with use by date of 09/02/20252. […]

• No harm, potential for more than minimal, widespreadF576Jul 21, 2023

  Based on interview and record review, the facility failed to ensure mail delivery was provided on Saturdays for residents receiving mail via the US Postal Service for 4 of 5 sampled residents (7, 12, 19 & 246) reviewed for communication with privacy. This failure placed residents at risk of not receiving their mail in a timely manner and a diminished quality of life. Findings included . The Nursing Facility Admission Agreement, dated 09/2013, documented, Each resident has a right to . send and promptly receive mail . On 07/19/2023 at 10:55 AM, during a Resident Council group interview, Resident 7 said there was activity staff that worked on Saturdays, but no mail was delivered on Saturday. The residents got Saturday's mail delivered on Monday. […]

• No harm, potential for more than minimal, widespreadF812Jul 21, 2023

  Based on observation, interview and record review, the facility failed to ensure foods were prepared, stored, and served in a sanitary manner when the facility failed to ensure the kitchen was free from dust and debris, clean dishes and utensils were stored in a clean manner, and opened foods were not labeled and/or dated as required for all 42 facility residents who received meals from the facility kitchen. These failures placed all residents at risk for food-borne illness and a diminished quality of life. Findings included . On 07/17/2023 at 9:06 AM, during the initial kitchen tour, crumbs, grease, and debris were observed throughout the kitchen. In the dry food storage, a bag of stored food was on the floor. In the freezer, several eggrolls are noted on the floor. […]

• No harm, potential for more than minimal, widespreadF880Jul 21, 2023

  Based on observation, interview, and record review, the facility failed to ensure residents with a urinary catheter (foley catheter, a flexible tube inserted into the bladder to drain urine into a drainage bag), received appropriate care and services to minimize the risk of associated urinary infections for 4 of 5 sampled residents (10, 36, 24 & 1), and failed to ensure hand hygiene and glove changes were performed when indicated in the kitchen during tray line service by 1 of 3 sampled kitchen staff (Staff 0) reviewed for infection prevention and control. These failures placed the residents at risk for infections, medical complications and a diminished quality of life. […]