SHERWOOD ELDERLY CARE FACILITY

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Licensee had a broken door knob in resident room, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/26/2025 Plan of Correction Licensee agrees to fix door knob and will submit photo by POC due date 12/26/25.

Official classification

Type B

Official code

1569.625(b)(2)

Regulation authority

HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Staff did not have training in postural supports, hospice care and restricted health care plans, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/30/2025 Plan of Correction Licensee agrees to conduct staff training and submit proof of training to meet this regulation by POC due date 12/30/25.

Official classification

Type A

Official code

87202(a)

Regulation authority

CCR

What the official deficiency says

87202 Fire Clearance (a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. This requirement was not met as evidenced by: Licensee did not ensure fire clearance was maintained by using a wooden stick to prevent sliding glass door from opening and using a chair to block the front door preventing residents from exiting which poses an immediate health safety and or personal rights risks to residents in care.

Official plan of correction

Licensee agrees to remove the wooden stick preventing the sliding glass door from opening and removing the chair from blocking the front door by POC due date 9/11/25. POC was cleared during visit. Civil Penalty was issued.

Deadline recorded: Sep 11, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(a)(1)

Regulation authority

CCR

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met as evidenced by: Licensee did not ensure staff accorded residents with dignity in their personal relationships by not allowing residents to go outside of the facility which poses an immediate health safety and or personal rights risk to residents in care.

Official plan of correction

Licensee agrees submit a written statement to LPA by POC due date 09/11/25 on how this regulation will be met.

Deadline recorded: Sep 12, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87633

Regulation authority

CCR

What the official deficiency says

87633 Hospice Care of Terminally Ill Residents (a) The licensee shall be permitted to accept or retain residents who have been diagnosed as terminally ill by his or her physician and surgeon and who may or may not have restrictive and/or prohibited health conditions, to reside in the facility and receive hospice services from a hospice agency in the facility when all of the following conditions are met: (4) A written hospice care plan which specifies the care, services, and necessary medical intervention related to the terminal illness as necessary to supplement the care and supervision provided by the facility is developed for each terminally ill resident or prospective resident by that resident’s hospice agency and agreed to by the licensee and the resident, or prospective resident, or the resident’s or prospective resident’s Health Care Surrogate Decision Maker, if any, prior to the initiation of hospice services in the facility for that resident, and all hospice care plans are fully implemented by the licensee and by the hospice(s). This requirement was not met as evidenced by: Licensee did not have a care plan for R1 which poses a potential health safety and or personal rights risk to residents in care.

Official plan of correction

POC Licensee agrees to submit a completed Hospice Care Plan to meet this regualtion by POC due date 03/21/25

Deadline recorded: Mar 21, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Licensee did not administer or have any notes as to why R2's PM medications were not administered on 12/13/24 which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/17/2024 Plan of Correction Licensee agrees to conduct a medication training and submit date training will be conducted by POC due date 12/17/24

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Licensee did not administer or have any notes as to why R2's PM medications were not administered on 12/13/24 which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/17/2024 Plan of Correction Licensee agrees to conduct a medication training and submit date training will be conducted by POC due date 12/17/24