Sheridan Healthcare and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Sheridan Healthcare and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF838Apr 4, 2025

  Based on record review and interview, the facility failed to ensure the minimum requirements were addressed in the facility assessment, as evidenced by, the medical director was not actively involved in the organization of the facility assessment for 1 of 1 facility. This failed practice had the potential to affect all residents in the facility (total census: 69). The findings are: On 04/04/2025, the Facility Assessment, dated as approved on 08/01/24 and reviewed with the Quality Assessment and Assurance (QAA) committee on 08/28/24, was reviewed and no signature page included. The revision history page was blank. […]

• No harm, potential for more than minimal, widespreadF576Jan 26, 2024

  Based on interview, and record review, the facility failed to ensure residents received personal mail on Saturdays. This failed practice had the potential to affect all 60 residents who resided in the facility, as documented on the Midnight Census provided by the Administrator on 1/22/2024 at 1:52 PM. The findings are: a. On 01/24/2024 at 02:50 PM, a resident council meeting was held with 6 residents. The Surveyors asked, Do you receive personal mail unopened and on Saturdays? The residents present replied, No we do not receive our mail on Saturdays, we receive it Monday through Friday. b. […]

• No harm, potential for more than minimal, widespreadF812Jan 26, 2024

  Based on observation and interview, the facility failed to ensure potential frozen meat items were not stored above frozen packages of food items; cartons of pasteurized eggs were not stored above butter logs; foods stored in the refrigerator, and dry storage area were covered and sealed to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen, foods were dated the day received or opened to assure first in, first out usage to prevent potential for food bone illness, the dining floor was free of stains; door frames were free of rotten wood; the kitchen vent over the dish washing machine was free of rust stains, the clean dish machine counter was replaced, the dish washer and kitchen walls were free of paint peeling; dietary staff washed their… […]

• No harm, potential for more than minimal, widespreadF880Jan 26, 2024

  Based on observation, interview, and record review, the facility failed to ensure staff used proper hand hygiene when assisting resident during meal service; laundry staff were properly trained to process contaminated linen; the folding table was free from contamination and to establish/implement a plan for Legionella to prevent the spread waterborne pathogens to reduce the potential for infections. This failed practice had the potential to affect 60 residents residing in the facility based on a list provided by the Administrator on 01/22/24 at 1:52 PM. The findings are: 1. On 01/22/24 at 02:15 PM, Certified Nursing Assistant (CNA) #1 removed soiled gloves and donned clean gloves without sanitizing her hands, while providing care to a resident. […]

• No harm, potential for more than minimal, patternF584Apr 4, 2025

  Based on observations, interviews, and facility digital thermometer readings, the facility failed to maintain rehab resident rooms and the rehab hallway at a comfortable temperature level for residents in 1 of 5 hallways in the facility. The findings include: On 03/31/25 at 11:07 AM, this surveyor observed Resident #221 in their room, sitting in a wheelchair next to the bed. The resident stated the room was cold. On 03/31/25 at 01:39 PM, this surveyor observed Resident # 221 in their room, sitting in a wheelchair in the middle of the room. The resident stated it was still cold in the room and even the quilts were cold. This surveyor obtained a digital thermometer temperature reading of 68.4 degrees Fahrenheit (F), at resident sitting height. […]