All citations for Sheridan County Hospital Ltcu

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 Sheridan County Hospital Ltcu

Last standard health inspection on record

October 22, 2025

Showing 1 to 21 of 21 citations

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

    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.

    Widespread (many residents). CMS level F.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of October 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2025).

  2. 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 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 24, 2025).

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

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of October 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 24, 2025).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of October 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2026).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of October 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2026).

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

    Have restrictions on the use of highly flammable decorations.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0753, Miscellaneous Deficiencies. Inspection of October 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2026).

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

    Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0908, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2026).

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

    Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

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

    Fire safety citation K-0111, Construction Deficiencies. Inspection of October 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2026).

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

    Meet requirements for sections of health care facilities separated by fire resistive construction.

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

    Fire safety citation K-0131, Construction Deficiencies. Inspection of October 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2026).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of October 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2026).

  11. 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 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2026).

  12. 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 October 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2026).

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

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

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

    Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2025).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of October 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2025).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of October 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2025).

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

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

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

    Health citation F-0849, Administration Deficiencies. Inspection of October 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2025).

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

    Implement a program that monitors antibiotic use.

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

    Health citation F-0881, Infection Control Deficiencies. Inspection of October 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2025).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of October 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2026).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of October 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2026).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

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

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of October 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2026).

  21. No harm, with potential for minimal harm

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Widespread (many residents). CMS level C.

    Health citation F-0851, Administration Deficiencies. Inspection of October 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2025).

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.