Sterling Oaks Rehabilitation

In the surveyor’s words

From the most serious findings on record at Sterling Oaks Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF656Aug 6, 2021

  Based on observation, interview, and record review the facility failed to develop and implement a comprehensive person-centered care plan for each resident, which included measurable objectives and time frames to meet residents' medical, mental, nursing and mental and psychosocial needs which were identified in the comprehensive assessment for 2 of 5 residents (Residents #71 and #79) reviewed for care plans. 1. The facility failed to ensure Resident #71 had an individualized care plan for to address a gastrostomy feeding tube. 2. […]

• No harm, potential for more than minimal, patternF812May 28, 2026

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for dietary services, in that: The facility failed on 5.26.26 to seal and cover food stored in refrigerator and out in open area of kitchen. These failures could place residents at risk for food contamination and foodborne illness.The findings included: The following observations were made on 5.26.26 beginning at 8:15 AM during initial tour of the kitchen: Observation of the following stored on counter in kitchen:Large baking dish with marble cake sitting out.Large plastic container of coffee grounds with no lid. […]

• No harm, potential for more than minimal, patternF583Apr 15, 2026

  Based on observation, interviews, and record reviews, the facility failed to ensure the residents' right to secure and confidential personal and medical records for 6 (unknown resident) residents. The facility failed to ensure the privacy of the unknown residents by locking the laptop screen, so the residents' information could not be seen by someone walking by. This failure put residents at risk for confidential health information exposure, psychosocial harm, and decreased quality of life. Findings included:Observation on 4-14-2026 at 9:20 AM - During initial rounds of the facility, it was by the observed in the common area that the laptop on the crash cart was open, with Matrix electronic health care records platform displaying several residents' information on the screen. […]

• No harm, potential for more than minimal, patternF842Nov 19, 2025

  Based on interview and record review, the facility failed to maintain medical records in accordance with accepted professional standards and practices that were complete and accurately documented for 2 of 5 Residents (Resident #1 and Resident #2) reviewed for medical records accuracy, in that: Resident #1's September 2025 MARs did not reflect documentation that heart rate and blood pressure was done. Resident #2's September 2025 nurse's notes did not document reasons why blood pressure medication was given when it was supposed to be held. […]

• No harm, potential for more than minimal, patternF842Sep 29, 2025

  Based on interview and record review, the facility failed to maintain medical records in accordance with accepted professional standards and practices that were complete and accurately documented for 2 of 5 Residents (Resident #1 and Resident #2) reviewed for medical records accuracy, in that: Resident #1's September 2025 MARs did not reflect documentation that heart rate and blood pressure was done. Resident #2's September 2025 nurse's notes did not document reasons why blood pressure medication was given when it was supposed to be held. This deficient practice could affect residents whose records were maintained by the facility, by placing them at risk for errors in care, and treatment. […]