All citations for Complete Care at Sheriden Commons

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Complete Care at Sheriden Commons

Last standard health inspection on record

March 13, 2025

Showing 1 to 25 of 64 citations

Harm to a resident
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Isolated (one or a few residents). CMS level G.
Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of August 15, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (August 19, 2024).
No harm, with potential for more than minimal harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Widespread (many residents). CMS level F.
Health citation F-0919, Environmental Deficiencies. Inspection of April 9, 2026. Found during a complaint inspection.
The home gave a date the problem would be corrected (April 10, 2026).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Widespread (many residents). CMS level F.
Health citation F-0880, Infection Control Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 14, 2025).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2025).
No harm, with potential for more than minimal harm
Have an enclosure around a vertical opening shaft.
Widespread (many residents). CMS level F.
Fire safety citation K-0311, Smoke Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.
Fire Safety Evaluation Survey (May 7, 2025).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2025).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2025).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of February 9, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (February 16, 2024).
No harm, with potential for more than minimal harm
Have an enclosure around a vertical opening shaft.
Widespread (many residents). CMS level F.
Fire safety citation K-0311, Smoke Deficiencies. Inspection of February 9, 2024. Found during a standard inspection.
Fire Safety Evaluation Survey.
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of February 9, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (February 20, 2024).
No harm, with potential for more than minimal harm
Have elevators that firefighters can control in the event of a fire.
Widespread (many residents). CMS level F.
Fire safety citation K-0531, Services Deficiencies. Inspection of February 9, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (February 14, 2024).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 9, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 9, 2024).
No harm, with potential for more than minimal harm
Hire a qualified full-time social worker in a facility with more than 120 beds.
Widespread (many residents). CMS level F.
Health citation F-0850, Administration Deficiencies. Inspection of November 9, 2023. Found during a complaint inspection.
The home gave a date the problem would be corrected (December 8, 2023).
No harm, with potential for more than minimal harm
Post nurse staffing information every day.
Widespread (many residents). CMS level F.
Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 4, 2023).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 4, 2023).
No harm, with potential for more than minimal harm
Address patient/client population and determine types of services needed.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 3, 2023).
No harm, with potential for more than minimal harm
Establish staff and initial training requirements.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2023).
No harm, with potential for more than minimal harm
Have an enclosure around a vertical opening shaft.
Widespread (many residents). CMS level F.
Fire safety citation K-0311, Smoke Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.
Fire Safety Evaluation Survey.
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.
A waiver was granted (July 5, 2023).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.
A waiver was granted (June 12, 2023).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Widespread (many residents). CMS level F.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 3, 2023).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Widespread (many residents). CMS level F.
Fire safety citation K-0511, Services Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 3, 2023).
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
Widespread (many residents). CMS level F.
Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2023).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.
A waiver was granted (June 19, 2023).
No harm, with potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Pattern (more than a few residents). CMS level E.
Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 14, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.