Sharon Lane Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Sharon Lane Health and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF689Nov 17, 2025

  The facility had a census of 47 residents. The sample included 12 residents, with two residents reviewed for accidents and/or hazards. Based on observation, interview, and record review, the facility failed to ensure rooms containing hazardous materials were kept locked and kept them out of reach of the eight cognitively impaired /independently mobile residents. Findings Included: - On 09/29/25 at 07:04 AM, an initial walkthrough of the facility was completed. An inspection of the 200 Hall revealed an unsecured Telephone room with empty boxes and a wire panel that was unlocked.An inspection of the R14's room revealed an uncontained oxygen cylinder sitting directly on the floor. On 09/29/25 at 07:17 AM, Housekeeper Staff U stated the room should be locked. […]

• No harm, potential for more than minimal, patternF761Nov 17, 2025

  The facility identified a census of 47 residents. The facility had three medication rooms. Based on observation, interview, and record review, the facility failed to, in accordance with state and federal guidelines, ensure that a vial of tuberculin (a substance used in the tuberculin skin test to detect an immune system response to the bacteria that causes tuberculosis) was labeled properly after being opened. Findings included: - On 09/30/25 at 07:32 AM, upon inspection of the rehabilitation unit medication room an open and undated multi-use vial of tuberculin was located in the medication refrigerator. The vial cap was removed. […]

• No harm, potential for more than minimal, patternF880Nov 17, 2025

  The facility identified a census of 47 residents. The facility identified 14 residents on Enhanced Barrier Precautions (EBP- infection control interventions designed to reduce transmission of resistant organisms, which employ targeted gown and glove use during high contact care). Based on record review, interviews, and observations, the facility failed to ensure Resident (R) 19's ventilator mask was stored in a sanitary manner, failed to implement adequate hand hygiene, and further failed to ensure R59's catheter (a flexible tube inserted through a narrow opening into a body cavity, particularly the bladder, for removing fluid) was not on the floor. Findings included:- On 09/29/25 at 07:15 AM, R59 sat in a recliner in her room. […]

• No harm, potential for more than minimal, patternF689Jan 31, 2024

  The facility had a census of 54 residents. The sample included 14 residents with two reviewed for accidents. Based on observation, record review, and interview, the facility failed to secure 33 pressurized medical oxygen tanks in a safe, locked area, and out of reach of the nine cognitively impaired independently mobile residents. The facility additionally failed to appropriately transfer Resident (R)4 with two staff resulting in a non-injury fall. This deficient practice placed the residents at risk for preventable accidents and injuries. Findings Included: - On 01/29/24 at 07:15 AM a walkthrough of the facility's Wizard's Way hallway revealed an unlocked oxygen storage closet. […]

• No harm, potential for more than minimal, isolatedF550Nov 17, 2025

  The facility identified a census of 47 residents. The sample included 12 residents, with one sampled resident reviewed for dignity. Based on observation, interview, and record review, the facility failed to preserve Resident (R) 59's dignity when staff failed to ensure that R59's catheter (a flexible tube inserted through a narrow opening into a body cavity, particularly the bladder, for removing fluid) bag was covered with a catheter dignity bag (a bag that conceals urinary drainage bags from public view). […]