Sharon Health Care Willows

In the surveyor’s words

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

• Immediate jeopardy, widespreadF880Jan 6, 2021

  Based on observation, interview, and record review, the facility failed to follow the Centers for Disease Control and Prevention (CDC) guidance to assign dedicated staff to work only in the COVID-19 unit and to exclude symptomatic healthcare personnel from work until a confirmation molecular test (PCR) is performed. The facility also failed to follow the CDC, Federal, and Local Health Department guidance for frequency of testing based on county level positivity rates. These failures have the potential to affect all 154 residents in the facility. […]

• Actual harm, isolatedF602Nov 25, 2025

  Based on interview and record review, the Facility failed to establish procedures to purchase Resident personal items and prevent staff from the unauthorized use/theft of a Resident's debit card, without the Resident's permission, for one of four Residents (R2) reviewed for Misappropriation of Resident property in a sample of four. This failure resulted fraudulent charges on R2's personal financial debit card account causing R2 mental distress.Findings include:The Facility Abuse Prevention Program Policy, updated 6/5/25, documents: this Facility affirms the right of our Residents to be free from abuse and misappropriation of resident property; prohibits mistreatment and abuse; has attempted to establish a secure environment; the Facility is doing all that is within its control to prevent… […]

• Actual harm, isolatedF600Jun 17, 2025

  4. R10's computerized Medical Record documents that R10 is a [AGE] year-old female that admitted to the facility on [DATE] with diagnoses which included Schizoaffective Disorder, Bipolar Type, Post Traumatic Stress Disorder, Unspecified. R10's MDS (Minimum Data Set) assessment dated [DATE] documents a BIMS (Brief Interview for Mental Status) of 14, indicating (cognition intact). R10 has no extremity impairment, required supervision for eating, is independent for all activities of daily living, bed mobility and transfers. R10 has Delusions, verbal behaviors directed towards others and rejects care. […]

• Actual harm, isolatedF689Jun 17, 2025

  Based on interview and record review the facility failed to prevent a fall for one resident (R5) of 3 residents reviewed for falls in the sample of 12. This failure resulted in R5 sustaining a fractured femur, causing R5 significant pain and required surgery. Findings include: R5's computerized Medical Record documents that R5 is a [AGE] year-old female that admitted to the facility on [DATE] with diagnoses which included Bipolar Disorder, Chronic Obstructive Pulmonary Disease, Metabolic Encephalopathy, Disorientation, Acquired Absence of Kidney, and Presence of Right Artificial Shoulder Joint. On 5/8/25 the diagnosis of Unspecified Fracture of Right Femur, Subsequent Encounter for Closed Fracture with Routine Healing was added. […]

• Actual harm, isolatedF600Nov 27, 2024

  Based on interview and record review, the facility failed to ensure resident to resident physical abuse did not occur for two residents (R2, R3) reviewed for abuse in a sample of four. This failure resulted in R2 being transported to the Emergency Department; and R2 sustaining a nasal fracture. Findings include: R2's diagnoses include Dementia, Psychotic Disturbance, Mood Disturbance, Anxiety, Bipolar Disorder, Major Depressive Disorder. R2's Minimum Data Set/MDS assessment dated [DATE] documents R2 as cognitively intact. R2's current Care Plan documents, (R2) has had verbal aggression that has escalated to physical threats of aggression towards staff and peers. R3's diagnoses include Schizoaffective Disorder Bipolar Type. […]