Inspection Reports for
Sheridan Healthcare and Rehabilitation Center
113 South Briarwood Drive, Sheridan, AR, 72150
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
35% worse than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
16
12
8
4
0
Occupancy
Latest occupancy rate
57% occupied
Based on a April 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Apr 4, 2025
Visit Reason
The inspection was conducted due to a complaint investigation regarding the misappropriation of a resident's medication, specifically a missing narcotic pain medication from the medication cart for Resident #8.
Complaint Details
The complaint investigation was substantiated as the medication was confirmed missing during a narcotic count discrepancy. The facility conducted a search including dumpsters and found the empty medication card. The issue was linked to an unlocked medication cart and a malfunctioning narcotic box lock.
Findings
The facility failed to protect Resident #8 from misappropriation of property when 43 pills of a compound narcotic pain medication were taken from an unlocked medication cart. The medication card was found empty in a dumpster behind the facility. The investigation revealed issues with the narcotic box lock and staff leaving the cart unlocked during a shift change.
Deficiencies (1)
Failed to protect a resident's right to be free from misappropriation of resident's property, specifically missing narcotic pain medication.
Report Facts
Medication pills missing: 43
BIMS score: 4
Dates medication administered: Medication administered from 07/09/2024 through 07/21/2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Former LPN #5 | Admitted leaving medication cart unlocked and noticed missing medication | |
| Director of Nursing | DON | Notified of missing medication, participated in search and investigation |
| Former Assistant Director of Nursing #8 | ADON | Involved in investigation and search for missing medication |
| Former Registered Nurse #6 | RN | Involved in narcotic count during shift change when discrepancy was found |
| Administrator | Involved in investigation and search for missing medication |
Inspection Report
Routine
Census: 69
Deficiencies: 3
Date: Apr 4, 2025
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident environment comfort, notification procedures for resident transfers, and facility-wide assessment practices.
Findings
The facility failed to maintain comfortable temperatures in the rehab resident rooms and hallway, failed to notify the Ombudsman of resident transfers for 2 sampled residents, and did not ensure the medical director was actively involved in the facility-wide assessment. These deficiencies were found to have minimal harm or potential for actual harm.
Deficiencies (3)
Failed to maintain rehab resident rooms and hallway at a comfortable temperature level for residents in 1 of 5 hallways.
Failed to ensure the Ombudsman was notified of residents transferred from the facility and send a copy of the transfer notification for 2 sampled residents.
Failed to ensure the minimum requirements were addressed in the facility assessment, including lack of active involvement by the medical director.
Report Facts
Temperature readings: 56.5
Temperature readings: 60.2
Temperature readings: 68.4
Temperature readings: 66.2
Temperature readings: 63.1
Temperature readings: 58.8
Temperature readings: 56.5
Temperature readings: 66.1
Temperature readings: 56.3
Temperature readings: 67.6
Temperature readings: 61.3
Resident census: 69
Emergency transfers: 2
BIMS score: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #18 | Certified Nursing Assistant | Interviewed about offering blankets or jackets to residents who were cold |
| Certified Nursing Assistant #1 | Certified Nursing Assistant | Interviewed about offering blankets or jackets to residents who were cold |
| Certified Occupational Therapy Assistant #2 | Certified Occupational Therapy Assistant | Interviewed about offering blankets and adjusting temperature for residents |
| Physical Therapy Assistant #3 | Physical Therapy Assistant | Interviewed about offering blankets or moving residents closer to heater |
| Certified Occupational Therapy Assistant #4 | Certified Occupational Therapy Assistant | Interviewed about offering blankets or jackets and adjusting room temperature |
| Director of Nursing | Director of Nursing | Interviewed about offering jackets or extra layers and comfortable temperature guidelines |
| Administrator | Administrator | Interviewed about providing blankets, adjusting vents, moving beds, and thermostat control |
| Business Office Manager | Business Office Manager | Interviewed about lack of knowledge regarding Ombudsman notification for resident transfers |
Inspection Report
Routine
Census: 60
Deficiencies: 14
Date: Jan 26, 2024
Visit Reason
The inspection was a routine survey conducted to assess compliance with regulatory requirements related to resident care, safety, infection control, and facility operations.
Findings
The facility was found deficient in multiple areas including failure to honor resident dignity and requests, incomplete and untimely care planning, improper incontinence care, inadequate nail care, improper use of bed rails without assessment or consent, delayed response to call lights, improper food preparation and storage, and lapses in infection prevention and control practices including hand hygiene and laundry processing.
Deficiencies (14)
Failed to honor resident's request to use the bathroom promoting dignity for 1 of 13 sampled residents requiring toileting assistance.
Failed to ensure residents were invited to participate in development of person-centered care plans for 1 of 6 cognitively intact residents.
Failed to ensure residents received personal mail on Saturdays affecting all 60 residents.
Failed to accurately code Minimum Data Set (MDS) for 1 resident with mental disorder.
Failed to complete Significant Change MDS assessment within 14 days after ADL decline for 1 resident.
Failed to develop comprehensive care plans addressing insulin injection orders for 1 of 6 residents with insulin orders.
Failed to review and revise care plans quarterly or with care changes for multiple residents with high-risk medications.
Failed to provide regular nail care for 1 of 16 residents requiring assistance.
Failed to provide proper incontinence care for 1 resident, including improper glove use and hygiene practices.
Failed to ensure bed rails were used only after assessment, consent, and care plan documentation for 1 of 5 residents using bed rails.
Failed to ensure call lights were answered timely; 10 missed opportunities to respond to call light for 1 resident.
Failed to ensure pureed food items were blended to smooth, lump-free consistency for residents requiring pureed diets.
Failed to ensure proper food storage, handling, sanitation, and kitchen/dining area maintenance to prevent foodborne illness.
Failed to ensure infection prevention and control practices including hand hygiene, laundry processing, and Legionella management.
Report Facts
Residents affected: 60
Residents sampled: 16
Residents sampled: 13
Residents sampled: 6
Residents sampled: 5
Staff encounters: 10
Residents on pureed diets: 5
Inspection Report
Annual Inspection
Census: 52
Deficiencies: 3
Date: Nov 3, 2022
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements including resident assessments, PASARR screenings, and safety conditions.
Findings
The facility was found deficient in correctly coding the Minimum Data Set (MDS) for antipsychotic medication use, failing to have PASARR screenings for residents requiring them, and not adequately cleaning dryer lint traps, creating a fire hazard.
Deficiencies (3)
Failed to ensure that the Minimum Data Set (MDS) was coded correctly to reflect antipsychotic medication use for one resident.
Failed to ensure that a Pre-admission Screening and Resident Review (PASARR) Level I and Level II was in place for one resident requiring it.
Failed to ensure dryer lint traps were cleaned of excess buildup to minimize potential for fire, affecting 52 residents.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 52
Daily Census: 52
Sample size: 15
Sample size: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Laundry Employee #1 | Interviewed regarding lint screen cleaning frequency | |
| Laundry Supervisor | Confirmed lint screens were cleaned every 2 hours | |
| Administrator | Interviewed regarding PASARR screening and dryer lint hazard | |
| MDS Coordinator | Interviewed regarding MDS coding for antipsychotic medication |
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