Sharon Center for Health & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Sharon Center for Health & Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Apr 27, 2026

  Based on clinical record review, facility documentation review, facility policy review, and staff interviews for one of three residents (Resident #1) reviewed for accident hazards and supervision, the facility failed to ensure adequate supervision of a resident with moderate cognitive impairment and an unsteady gait requiring walker-assisted ambulation, failed to accurately assess elopement risk despite a BIMS score of 9 indicating moderate cognitive impairment, and failed to ensure staff responded appropriately to an activated exit door alarm by searching for a resident or notifying the supervisor prior to deactivation. […]

• Immediate jeopardy, isolatedF684May 8, 2023

  Based on clinical record review, facility documentation review, facility policy review, and interviews for one of three residents (Resident #1), reviewed for accidents, the facility failed to ensure staff completed a comprehensive physical assessment to include vital signs, full neurological assessment, and range of motion of all extremities timely after Resident #1 had an unwitnessed fall that resulted in a significant injury. The failures resulted in a finding of Immediate Jeopardy. […]

• No harm, potential for more than minimal, patternF756Aug 29, 2025

  Based on clinical record review, facility documentation, facility policy and staff interviews for 1 of 5 residents (Resident #1) reviewed for unnecessary medications, the facility failed to review and respond to pharmacy recommendations in a timely manner. The findings include: Resident #1 was admitted to the facility on [DATE] with diagnoses that included dementia, diabetes, and hypertension.The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #1 was severely cognitively impaired, dependent on bathing, and personal hygiene. Also, identified Resident #1 required maximal assistance for toileting, dressing and partial moderate assistance for transfers. […]

• No harm, potential for more than minimal, patternF806Aug 29, 2025

  Based on observations, facility documentation, facility policy and interviews, the facility failed to ensure that the correct portion of chicken was served, and corn bread or a similar substitute was provided per facility menu. The findings include: Observation of the lunch menu for 8/25/25 identified 4 oz of chicken and cornbread was to be served.a. Observations in the [NAME] Unit dining room on 8/25/25 at 12:15 PM noted that Resident #13 did not have any protein with his/her lunch meal. Resident #13 was asked if he/she wanted any chicken with lunch by the surveyor. Resident #13 responded that he/she would like chicken. Dietary Aid (DA) #1 responded, we don't have any more chicken. DA #1 did not offer an alternative and/or provide Resident #13 with any protein with his/her meal. […]

• No harm, potential for more than minimal, patternF880Aug 29, 2025

  Based on observations, interviews, review of the clinical record, and facility policy for 3 of 5 residents (Resident #1, Resident #34 and Resident #54) reviewed for infection control, the facility failed to maintain proper infection control techniques regarding social distancing (Resident #1 and Resident #34) and Enhanced Barrier Precautions (EBP) when entering a room of a resident on droplet precautions (Resident #54). The findings include: 1.Resident #1 had diagnoses that included COVID-19, dementia, and diabetes. […]