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 34 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

    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).

  3. 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).

  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 February 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 16, 2024).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

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

    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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 14, 2025).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 14, 2025).

  11. 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 February 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2024).

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

    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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of February 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2024).

  13. 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).

  14. 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).

  15. 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 9, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 10, 2026).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 14, 2025).

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

    Allow residents to self-administer drugs if determined clinically appropriate.

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

    Health citation F-0554, Resident Rights Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 14, 2025).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, 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).

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

    Provide routine and 24-hour emergency dental care for each resident.

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

    Health citation F-0790, 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).

  20. 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).

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

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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

    Health citation F-0625, Resident Rights Deficiencies. Inspection of February 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2024).

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

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of February 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 12, 2024).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of February 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 12, 2024).

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

    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.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of February 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2024).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of February 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2024).

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.