Facility profile · CCN 056483
Sherwood Oaks Post Acute Care, Llc
46 federal citations on record , and 3 federal enforcement actions totaling $34,710.
Record summary
Federal record · Q1 202646
Total citations
27
Last 3 years
2
Actual harm+
3
Federal penalties
$34,710
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
46 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Feb 12, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Feb 12, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Feb 12, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Dec 24, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Dec 24, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| May 24, 2024 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Complaint |
| May 24, 2024 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Complaint |
| May 24, 2024 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Complaint |
| May 24, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Complaint |
| May 24, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint |
| May 24, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint |
| May 24, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| May 24, 2024 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard |
| May 24, 2024 | F851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard |
| May 24, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| May 24, 2024 | F732 | Post nurse staffing information every day. | E | Standard |
| May 24, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard |
| May 24, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | E | Standard |
| May 24, 2024 | F688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard |
| May 24, 2024 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| May 24, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| May 24, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| May 24, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard |
| May 24, 2024 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Dec 6, 2023 | F801 | 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. | F | Complaint |
| Jun 7, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jun 7, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| May 20, 2022 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard |
| May 20, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| May 20, 2022 | F808 | 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. | E | Standard |
| May 20, 2022 | F803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard |
| May 20, 2022 | F801 | 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. | F | Standard |
| May 20, 2022 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard |
| May 20, 2022 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | E | Standard |
| May 20, 2022 | F622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Standard |
| Sep 21, 2019 | F908 | Keep all essential equipment working safely. | D | Standard |
| Sep 21, 2019 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Sep 21, 2019 | F758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard |
| Sep 21, 2019 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Sep 21, 2019 | F660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Standard |
| Sep 21, 2019 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Sep 21, 2019 | F610 | Respond appropriately to all alleged violations. | E | Standard |
| Sep 21, 2019 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard |
| Sep 21, 2019 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard |
| Sep 21, 2019 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
| Sep 21, 2019 | F576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | C | Standard |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $34,710 and 1 payment-denial actions spanning 25 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Feb 12, 2025 | Fine | $8,970 | — |
| Feb 12, 2025 | Payment Denial | — | Mar 8, 2025 · 25 days |
| Jun 7, 2023 | Fine | $25,740 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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