Inspection Results » Sherwood Oaks Health Center

Health Inspection on September 24, 2018 ^[1]

1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (Corrected 2018-11-29)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-11-29)
   • Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (Corrected 2018-11-29)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-11-29)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-11-29)
   • Implement a program that monitors antibiotic use. (Corrected 2018-11-29)
   • Ensure residents have reasonable access to and privacy in their use of communication methods. (Corrected 2018-11-29)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2018-11-29)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-11-29)

2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (Corrected 2018-11-29)
   • Provide and implement an infection prevention and control program. (Corrected 2018-11-29)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-11-29)
   • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (Corrected 2018-11-29)

3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. (Corrected 2018-11-29)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-11-29)
   • Assist a resident in gaining access to vision and hearing services. (Corrected 2018-11-29)