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 29 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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.

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

  14. No harm, with potential for more than minimal harm

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0553, Resident Rights Deficiencies. Inspection of November 9, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 8, 2023).

  15. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 4, 2023).

  16. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2023).

  17. No harm, with potential for more than minimal harm

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0362, 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).

  18. No harm, with potential for more than minimal harm

    Install properly constructed and protected linen or trash chutes.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0541, Services Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.

    A waiver was granted (June 12, 2023).

  19. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 3, 2023).

  20. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 3, 2023).

  21. No harm, with potential for more than minimal harm

    Provide enough food/fluids to maintain a resident's health.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0692, 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).

  22. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of November 9, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 8, 2023).

  23. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of November 9, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 8, 2023).

  24. No harm, with potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 4, 2023).

  25. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of April 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 4, 2023).

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.