The Shepherd's Center

In the surveyor’s words

From the most serious findings on record at The Shepherd's Center, in the surveyor’s own words.

• Immediate jeopardy, widespreadF609Jun 27, 2024

  The facility reported a census of 25 residents. The sample included six residents reviewed for misappropriation and exploitation. Based on interview and record review, the facility failed to ensure the timely reporting of alleged exploitation to the State Agency (SA- a state governmental agency that provides oversight for the Centers for Medicare & Medicaid Services [CMS - the federal government agency that administers the nation's major healthcare programs]) or local law enforcement, as required, when the facility failed to report the allegation of exploitation of Resident (R) when Housekeeping Staff D coerced the resident to write her a check for $300.00. […]

• Immediate jeopardy, widespreadF610Jun 27, 2024

  The facility reported a census of 25 residents. The sample included six residents reviewed for misappropriation and exploitation. Based on interview and record review, the facility failed to thoroughly investigate incidents of misappropriation of funds and failed to protect the residents from further misappropriation when Housekeeping Staff D coerced Resident (R)1 to write her a check for $300.00. This deficient practice placed R1and other residents of the facility in immediate jeopardy and placed the residents at risk for further misappropriation of funds. […]

• Immediate jeopardy, isolatedF602Jun 27, 2024

  The facility reported a census of 25 residents. The sample included six residents reviewed for misappropriation and exploitation. Based on interview and record review, the facility failed to ensure Resident (R)1 remained free from misappropriation of funds, when Housekeeping Staff D coerced the resident to write her a check for $300.00. This deficient practice placed R1and other residents of the facility in immediate jeopardy with the risk for a negative psychosocial impact in safety and security. […]

• No harm, potential for more than minimal, widespreadF730Nov 17, 2025

  The facility reported a census of 20 residents. Based on interview and record review, the facility failed to ensure complete the required annual evaluation for two of the five Certified Nursing Aide staff sampled. Findings included:-Review of the staff personnel files revealed the following:1.CNA N, hired on 08/02/23, had a performance evaluation dated 07/25/24 but nothing dated afterwards. 2. CNA O, hired 12/03/20, had a performance evaluation dated 05/06/24 but nothing dated afterwards.On 09/30/25 at 04:25 PM, Administrative Nurse D revealed she is planning on setting up the evaluations on a calendar and said they should be completed in a timely manner.The facility policy Staff Recruitment and Retention Policy, undated, revealed the facility recognizes staff members are the backbone of… […]

• No harm, potential for more than minimal, widespreadF801Nov 17, 2025

  The facility reported a census of 20 resident. Based interviews. the facility failed to employ a full-time certified dietary manager for the residents who resided in the facility and received meals from the facility kitchen. Findings included: - Upon request, the facility was unable to provide evidence of adequate training credentials for the Certified Dietary Manager (CDM).On 09/29/25 at 10:35 AM, Dietary Manager BB stated she did not have a certificate or experience with food handling prior to taking the position. She revealed she was currently in classes for her CDM.On 10/1/25 at 03:35 PM, Administrative Staff A revealed she placed Dietary Manager BB in the position and was not aware she needed to have certification, specialized training, or experience. […]