Inspection Reports for Sherwood Assisted Living

The licensee failed to obtain medications in a timely manner for one resident, resulting in the resident not receiving medications as prescribed and placing the resident at risk for decreased quality of life. This deficiency was uncorrected and recurring, having been previously cited on May 9, 2025, February 28, 2025, and December 3, 2024.

The facility failed to implement the negotiated service agreement when assisting a resident to transfer, placing residents at risk for avoidable injuries. This deficiency was uncorrected and recurring, previously cited on March 18, 2025, and January 3, 2025, resulting in a civil fine.

Complaint investigation conducted for allegations including infection control, resident neglect, physical environment, and nursing services. Failed provider practice identified with citations written.

The follow-up inspection found no deficiencies and confirmed that previously cited deficiencies related to staffing were corrected. The facility was found to be in compliance with licensing laws and regulations.

The facility was found to have uncorrected and recurring deficiencies related to nonavailability of medications for one resident and failure to secure hazardous supplies accessible to memory care residents, placing 19 residents at risk.

The licensee failed to ensure staff provided care and services in accordance with residents' negotiated service agreements for two residents, resulting in a civil fine. This deficiency was previously cited and remained uncorrected.

The licensee failed to provide sufficient staff to assist residents in a timely manner for two residents, placing them at risk for distress, unmet care needs, and decreased quality of life. This deficiency was uncorrected from a prior citation on January 24, 2025, resulting in a civil fine.

The facility was found to have multiple uncorrected deficiencies related to resident care plans, medication storage and administration, staff tuberculosis testing, resident rights notifications, safe storage of supplies, food sanitation, communication systems, staff training, and disclosure of services. These deficiencies placed residents and staff at risk and resulted in civil fines totaling $4,200.

The facility was found not in compliance with licensing laws and regulations in multiple areas including failure to document resident service plans, secure medications, timely obtain and administer medications, tuberculosis testing for staff, disclosure of Medicaid policy, safe storage of supplies, food sanitation, communication systems, maintenance, and investigation of incidents.

Allegation of monitoring of change in condition of residents not being performed. The investigation identified a failed provider practice related to failure to implement the Alert Charting Policy for one resident, placing the resident at risk of unidentified care needs and decreased quality of life.

The follow-up inspection found no deficiencies, confirming that previously cited deficiencies related to policies and procedures were corrected. The complaint investigation found a failed provider practice for not following the Alert Charting policy to monitor and document resident condition changes.

The visit was complaint-related and substantiated, resulting in a civil fine due to infection control violations.

The facility failed to implement proper infection control practices, did not provide necessary supplies for employees to prevent infection spread, failed to perform proper hand hygiene after resident care, and did not report timely or cooperate with the Local Health Jurisdiction. These failures placed all 63 residents at risk for infectious disease spread.

Complaint investigation included allegations of failure to provide care and services as agreed upon, false billing claims which were not substantiated, and a Norovirus outbreak. The investigation found failed practices related to quality of care and infection control, with citations issued. The facility had poor communication and delayed reporting to the health department, inadequate infection control measures, and ongoing disease spread.

The facility failed to provide services as agreed upon per the resident negotiated service plan and failed to implement proper infection control practices during a Norovirus outbreak, including lack of necessary supplies, poor hand hygiene, and failure to timely report and cooperate with the Local Health Jurisdiction. These failures placed all 63 residents at risk for spread of infectious disease.

After review and consideration of materials, oral statements, and records, the decision was made to delete the cited deficiency WAC 388-78A-2732 from the SOD.

Complaint investigation conducted from 07/22/2024 through 08/29/2024 regarding reports of residents being left wet in their brief and clothing for an extended period of time. Investigation found residents denied being left wet, unable to substantiate failed practice, but identified failed provider practice related to inaccurate toileting care plans. Citation(s) written.

The follow-up inspection found no deficiencies and confirmed that previously cited deficiencies related to ongoing assessments were corrected. The prior complaint investigation identified a failed provider practice regarding inaccurate toileting care plans.

Complaint investigation conducted from 08/15/2024 through 09/13/2024 regarding quality of care (resident sitting in soiled clothes, dirty clothes piled up, unmade bed) and insufficient staff. Investigation found sufficient staff and no complaints from residents about being left soiled. However, failed practice identified for unsigned care plans.

The follow-up inspection found no deficiencies. Previously identified deficiencies related to signing negotiated service agreements were corrected.

Complaint numbers 142443 and 142350 were investigated. The complaint was related to quality of care/treatment involving an elopement. The investigation found missing components in the facility's internal investigation but no failed provider practice or citation was issued.

The investigation found that the facility did not complete their internal investigation when one resident eloped. The resident was allowed outside, was lost, and then moved to the memory care unit. The investigation was missing several required components, but all other sampled residents' records revealed no concerns. Consultation was provided.