All citations for Sherbrooke Village

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 Sherbrooke Village

Last standard health inspection on record

April 10, 2026

Showing 1 to 25 of 30 citations

  1. Immediate jeopardy to resident health or safety

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2022).

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

    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

    Widespread (many residents). CMS level F.

    Health citation F-0837, Administration Deficiencies. Inspection of August 20, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (July 15, 2024).

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

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Widespread (many residents). CMS level F.

    Health citation F-0868, Administration Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2022).

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2022).

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

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2022).

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

    List the names and contact information of those in the facility.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2022).

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

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2022).

  8. 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 October 27, 2022. Found during a standard inspection.

    A waiver was granted (June 1, 2023).

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

    Have proper medical gas storage and administration areas.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2022).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2022).

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

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

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2022).

  12. 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 October 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2022).

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

    Have a plan that describes the process for conducting QAPI and QAA activities.

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

    Health citation F-0865, Administration Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2022).

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

    Report COVID19 data to residents and families.

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

    Health citation F-0885, Infection Control Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2022).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2022).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2022).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2022).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2022).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2022).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2022).

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

    Meet requirements for the use and maintenance of medical gas equipment.

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

    Fire safety citation K-0922, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2022).

  22. 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 December 29, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 1, 2024).

  23. 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 October 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2022).

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2022).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2022).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.