Sherwood Nursing & Rehabilitation Center, Inc

In the surveyor’s words

From the most serious findings on record at Sherwood Nursing & Rehabilitation Center, Inc, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Dec 11, 2025

  Based on record review, observations, interview, and facility document review, the facility failed to ensure two staff assisted in transferring a resident using a mechanical lift as required by the resident's closet care plan and manufacturer's recommendations, to prevent a fall for one (Resident #98) of one resident reviewed. This failed practice resulted in Resident #98 sustaining a laceration to the right eyebrow and an injury to the right eye, causing bleeding from the eye. It was determined the facility's non-compliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death to residents. The Immediate Jeopardy (IJ) situation was related to State Operation Manual, Appendix PP, 483.35 at a scope and severity of J. […]

• Immediate jeopardy, isolatedF689Oct 17, 2023

  Based on record review and interview, the facility failed to ensure two staff members were present when transferring a resident who required two-person assistance to prevent accident and injury for 1 (Resident #1) of 3 sampled residents. The findings are: These findings were determined to be an Immediate Jeopardy. The Surveyor provided the State Operations Manual Appendix Q Immediate Jeopardy template to the Administrator and informed of the Immediate Jeopardy on 10/16/23 at 2:28 PM. […]

• No harm, potential for more than minimal, widespreadF812Sep 12, 2024

  Based on observation, interview, and facility policy review, the facility failed to ensure dented food cans were promptly removed/ discarded; expired food items and spices were promptly removed/discarded on or before the expiration or use by date; food stored in the freezer and dry storage area were dated to ensure first in and first; dietary staff wore hairnets to prevent the potential for cross contamination for residents who received meals from 1 of 1 kitchens; serving dishes were stored properly to prevent the potential for cross contamination;1 of 2 ice machines was maintained in clean and sanitary condition and dietary staff handled glassware items properly to prevent the potential for cross contamination for residents who received meals from 1 of 1 kitchen. […]

• No harm, potential for more than minimal, widespreadF812Jun 30, 2022

  Based on observation, interview and record review, the facility failed to ensure failed to ensure food items stored in the refrigerator and dry storage area were sealed/closed; drinks stored in the refrigerator on the 200 Hall were dated when opened or received; the deep fryer cabinet was clean and free of stains and spills and dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 81 residents who received meals from the kitchen (total census:85), as documented on a list provided by Dietary Supervisor on 6/30/2022 at 9:09 AM. The findings are: 1. […]

• No harm, potential for more than minimal, widespreadF812Apr 23, 2021

  Based on observation and interview, the facility failed to ensure Dietary Staff washed their hands and changed gloves between dirty and clean tasks and before handling clean equipment or food items to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 68 Residents who received meals from the kitchen (Total Census: 74) as documented on a list provided by the Dietary Supervisor on 04/23/2021. The findings are: 1. On 4/21/21 at 11:41 a.m., Dietary Employee #1picked up a tray from a rack and placed it on the counter. She pressed down on the beverage dispenser machine buttons and dispensed beverages into individual glasses. […]