Sheridan County Hospital Ltcu

In the surveyor’s words

From the most serious findings on record at Sheridan County Hospital Ltcu, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Mar 30, 2021

  The facility had a census of 25 residents. The sample included three residents reviewed for abuse. Based on observation, record review, and interview, the facility failed to prevent an incident of abuse for Resident (R) 1, when in September 2020 a staff member recorded a video on her cell phone of staff providing personal care to Resident (R) 1 with his private area exposed and visible on the video, while attached to a mechanical lift. The resident told the staff to stop it, but the staff member continued to record the video. Staff then posted the video on a social media site and shared it with multiple staff. […]

• Actual harm, isolatedF689Nov 14, 2024

  The facility identified a census of 26 residents, with three residents reviewed for falls and accidents. Based on record review, observation, and interview, the facility failed to transfer Resident (R) 1 safely with a gait belt, and in the process of the transfer staff lifted R1 by both of her arms and R1 sustained a broken left humerus (upper arm bone). This deficient practice placed R1 at risk for injury, pain, and delayed healing. Findings included: - R1's Electronic Medical Record (EMR) documented R1 had diagnoses of dementia (a progressive mental disorder characterized by failing memory, and confusion), anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear), major depressive disorder (major mood disorder which causes persistent feelings… […]

• Actual harm, isolatedF689May 23, 2024

  The facility had a census of 23 residents. The sample included 13 residents with eight reviewed for falls. Based on observation, record review, and interview the facility failed to ensure an environment free from accidents when staff placed Resident (R) 4's electric lift chair remote in reach, despite a safety evaluation which indicated it was not safe. As a result, R4 fell and required sutures to her head laceration. The facility continued to leave the lift control within R4's reach, which placed her at continued risk for falls, injuries, and associated pain. […]

• Actual harm, isolatedF687Jul 14, 2022

  The facility had a census of 28 residents. The sample included 12 residents with one resident reviewed for foot care. Based on observation, record review, and interview the facility staff failed to provide appropriate foot care in accordance with professional standards of practice, to prevent complications from conditions such as diabetes, when a Certified Nurse Aide (CNA) filed Resident (R) 15's callous on her right big toe, which caused a wound. As a result. R15's wound became infected, required medical treatment including antibiotics, and continued to cause R15 pain. Findings included: - R15's Electronic Medical Record documented the resident had diagnose of type II diabetes mellitus (when the body cannot use glucose, not enough insulin made, or the body cannot respond to the insulin). […]

• No harm, potential for more than minimal, widespreadF727Oct 22, 2025

  The facility had a census of 27 residents. The sample included 12 residents. Based on interviews and record review, the facility failed to provide Registered Nurse (RN) coverage for eight consecutive hours a day, seven days a week.Findings included:- The Payroll Based Journal (PBJ- a required detail of staffing information submitted by nursing homes, provided by the Centers for Medicare and Medicaid Services (CMS)) documented that the facility lacked RN eight-hour coverage for the following days: 04/19/25, 05/10/25, 05/17/25, and 05/24/25.On 10/21/25 at 04:00 PM, Administrative Nurse D verified on the above dates that there was no RN in the Long-Term Care Unit, but that there was an RN on call.On 10/22/25 at 07:55 AM, Administrative Staff A stated that a report was run after accounts… […]