Inspection Reports for
Sherwood Oaks
100 & 500 NORMAN DRIVE,, CRANBERRY TOWNSHIP, PA, 16066
Back to Facility Profile22 Reports
Inspection Report — May 29, 2026
Follow-Up
Date: May 29, 2026
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by an incident to verify the implementation of a submitted plan of correction.
Findings
The facility was found to have fully implemented the submitted plan of correction related to resident abuse and support plan documentation. Continued compliance is required.
Citations (2)
42b - Abuse: A resident in the Secure Dementia Care Unit was physically abused by another resident, resulting in multiple injuries including skin lacerations and bruising. Staff intervened and the facility implemented immediate corrective actions including increased monitoring and staff education.
227d - Support Plan Medical/Dental: A resident's initial support plan did not document care and services to address behaviors of verbal aggression, physical violence, and excessive wandering. The facility updated the care plan and implemented ongoing audits to ensure accuracy.
Report Facts
Residents Served: 63
Secured Dementia Care Unit Residents Served: 29
Current Hospice Residents: 7
Residents Age 60 or Older: 63
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 29
Inspection Report — Dec 1, 2025
Complaint Investigation
Date: Dec 1, 2025
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Report Facts
Residents Served: 59
Secured Dementia Care Unit Residents Served: 26
Current Hospice Residents: 5
Inspection Report — Jan 14, 2025
Complaint Investigation
Date: Jan 14, 2025
Visit Reason
The inspection was conducted as a complaint and incident investigation at the facility.
Complaint Details
The inspection was triggered by a complaint and incident, but no deficiencies or citations were found.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 30
Secured Dementia Care Unit Residents Served: 30
Current Hospice Residents: 4
Residents Age 60 or Older: 60
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 30
Inspection Report — Dec 5, 2024
Follow-Up
Date: Dec 5, 2024
Visit Reason
The inspection was a follow-up review of a previously submitted plan of correction related to a complaint and incident at the facility.
Complaint Details
The visit was complaint-related, triggered by an incident where a resident was upset, unsteady, refused assistance, kicked a staff member, and was found locked in a bathroom. The abuse allegation was initially not reported timely. Staff person A was suspended and later terminated. Education and monitoring plans were implemented.
Findings
The report details multiple deficiencies related to resident abuse reporting, supervision of staff, incident reporting, abuse prevention, positive interventions, prohibitions on restraints, medical evaluations, and support plan needs. The facility implemented corrective actions including staff suspension and termination, education, audits, and ongoing monitoring.
Citations (8)
Failure to immediately report suspected abuse of a resident to the local Area Agency on Aging.
Failure to immediately submit a plan of supervision or notice of suspension of the affected staff person to the Department.
Failure to report the incident or condition to the Department’s personal care home regional office or complaint hotline within 24 hours.
Resident subjected to abuse including being kicked by staff and locked in a bathroom with a chair blocking the door.
Failure to use positive interventions to modify or eliminate behavior that endangers the resident or others.
Use of prohibited procedures including seclusion and restraints.
Resident medical evaluation not completed within 60 days prior to admission and did not indicate the need for secured dementia care unit (SDCU).
Support plan did not identify resident’s physical, medical, social, cognitive and safety needs including falls and behavioral issues.
Report Facts
Residents Served: 60
Residents Served in SDCU: 29
Current Hospice Residents: 5
Residents Age 60 or Older: 60
Residents with Intellectual Disability: 1
Residents with Mobility Need: 29
Total Daily Staff: 89
Waking Staff: 67
Inspection Report — Oct 28, 2024
Renewal
Date: Oct 28, 2024
Visit Reason
The inspection was conducted as a renewal inspection of the Sherwood Oaks facility to assess compliance with licensing requirements.
Findings
The inspection identified several deficiencies including failure of a direct care staff person to complete required training before providing unsupervised ADL services, unsecured poisonous materials accessible to residents in the secured dementia care unit, lack of annual medical evaluations for a resident, and missing posted codes for key-locking devices. Plans of correction were accepted and fully implemented by February 26, 2025.
Citations (4)
Direct care staff person provided unsupervised ADL services without completing Department-approved direct care training and competency test.
Poisonous materials were unlocked, accessible, and unattended in the secured dementia care unit, with the soiled utility room door left wide open.
Resident did not have annual medical evaluation completed within required timeframe.
No code visible for locking mechanism for gate leading out of the outside garden and no code posted for door from outside garden into dining room in secured dementia care unit.
Report Facts
Residents Served: 58
Residents Served in Secured Dementia Care Unit: 30
Current Hospice Residents: 3
Total Daily Staff: 88
Waking Staff: 66
Inspection Report — Jul 17, 2024
Date: Jul 17, 2024
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility on 07/17/2024.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 58
Secured Dementia Care Unit Residents Served: 30
Hospice Current Residents: 5
Residents Age 60 or Older: 58
Residents with Intellectual Disability: 1
Residents with Mobility Need: 30
Residents with Physical Disability: 1
Total Daily Staff: 88
Waking Staff: 66
Inspection Report — Oct 11, 2023
Renewal
Date: Oct 11, 2023
Visit Reason
The inspection was conducted as a renewal inspection of the Sherwood Oaks facility on 10/11/2023 and 10/12/2023 to review compliance with licensing requirements.
Findings
The inspection identified several deficiencies related to sanitary conditions, trash management, bathroom ventilation, lighting, food storage, and medication labeling and administration. The facility submitted a plan of correction which was determined to be fully implemented by the follow-up date.
Citations (7)
Two black packages of pre pureed foods were found on the floor of the walk-in freezer, one partially unsealed.
The right lid of the furthest right dumpster was pushed in, creating an opening approximately 2.5 by 4 feet, allowing potential insect and rodent penetration.
The continuous air draw vent in a private bathroom was not operational and there was no window for ventilation.
Resident #1 did not have access to an operable bedside source of light due to headboard placement.
Partially covered shredded Swiss cheese and tilapia were found in the walk-in refrigerator with seals not completely covering the edges.
Resident #1's medication container label did not match the prescribed directions.
Resident #2 was administered medication differently than documented on the medication administration record, though administration was per physician orders.
Report Facts
Residents Served: 57
Staffing Hours: 87
Waking Staff: 65
Residents with Mobility Need: 30
Residents 60 Years or Older: 57
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Dining Services | Named in relation to food storage and sanitary condition findings | |
| Grounds Supervisor | Responsible for monitoring dumpster lids as part of plan of correction | |
| Maintenance Manager | Involved in correcting dumpster lid and bathroom fan issues | |
| Nurse Supervisor | Placed lamp for resident and involved in medication administration education | |
| Nurse Care Manager | Responsible for medication cart and MAR audits |
Inspection Report — Oct 11, 2022
Renewal
Date: Oct 11, 2022
Visit Reason
The inspection was conducted as a renewal inspection of the Sherwood Oaks facility to review compliance and verify the submitted plan of correction.
Findings
The submitted plan of correction was found to be fully implemented. Two deficiencies were noted: unlocked resident count sheets compromising confidentiality, and an incomplete annual medical evaluation missing the resident's pulse rate. Both deficiencies were corrected with staff education and audits.
Citations (2)
Resident #1 and resident #2's count sheets were unlocked, unattended, and accessible outside the secured dementia care unit nursing office.
Resident #3’s annual medical evaluation did not indicate the resident’s pulse rate; this section of the form was blank.
Report Facts
Residents Served: 65
Secured Dementia Care Unit Residents Served: 29
Current Hospice Residents: 5
Residents Age 60 or Older: 65
Residents with Intellectual Disability: 1
Residents with Mobility Need: 29
Inspection Report — Jul 5, 2022
Date: Jul 5, 2022
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident.
Findings
No deficiencies were found during this inspection.
Report Facts
Current Hospice Residents: 5
Notice — May 16, 2022
Date: May 16, 2022
Visit Reason
This document serves to notify Sherwood Oaks that their request to waive certain admission and medical evaluation documentation requirements under 55 Pa.Code § 2600.22, § 2600.141, and § 2600.224 has been granted with conditions.
Findings
The waiver is granted on the condition that Sherwood Oaks will use UPMC's 'My Unity' forms in lieu of the Department's specified forms. The Department will review compliance with this waiver during its annual inspection and may terminate the waiver or take licensing action if conditions are not met.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jeanne Parisi | Bureau Director, Human Services Licensing | Signed the waiver approval letter |
Inspection Report — Nov 5, 2021
Date: Nov 5, 2021
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 64
Residents Served in Secured Dementia Care Unit: 28
Current Hospice Residents: 3
Total Daily Staff: 92
Waking Staff: 69
Resident Support Staff: 0
Inspection Report — Oct 22, 2021
Renewal
Date: Oct 22, 2021
Visit Reason
The inspection was an unannounced full renewal inspection conducted on 10/22/2021 to review the facility's compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies including unsecured bed enablers posing fall hazards, uncovered trash receptacles in kitchens and outside, food stored on the floor, exit signs with improper letter size, and medication labeling issues. Plans of correction were directed and implemented with follow-up submissions.
Citations (6)
Bed enablers attached to resident beds were not securely fastened, posing potential fall hazards.
Uncovered trash cans and containers in the country kitchen allowing penetration of insects and rodents.
Four dumpsters outside the home did not have lids, allowing penetration of insects and rodents.
Food (2 containers of ice cream) stored on the walk-in freezer floor.
Exit sign letters were only ¾" x ¾", smaller than required size for a home serving 65 residents.
Prescription medication for resident #2 lacked proper pharmacy labeling.
Report Facts
Residents Served: 65
Secured Dementia Care Unit Residents Served: 29
Hospice Current Residents: 5
Staffing Hours - Total Daily Staff: 94
Staffing Hours - Waking Staff: 71
Number of Residents with Mobility Need: 29
Number of Residents 60 Years or Older: 65
Number of Residents Diagnosed with Intellectual Disability: 1
Notice — Sep 13, 2021
Date: Sep 13, 2021
Visit Reason
The document serves as a license renewal approval for the Personal Care Home 'Sherwood Oaks' and notifies the facility that an onsite inspection will be conducted within the next twelve months as required by state regulations.
Findings
No inspection findings are reported in this document; it confirms issuance of a regular license following receipt of the renewal application and outlines the requirement for a future annual inspection.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal approval letter. |
Notice — Oct 21, 2020
Date: Oct 21, 2020
Visit Reason
This document serves as a renewal notification and license issuance for the Personal Care Home Sherwood Oaks, confirming the facility's compliance and informing that an annual inspection will be conducted within the next twelve months.
Findings
The Department has issued a regular license in response to the renewal application and will conduct an onsite inspection within the next twelve months to ensure compliance with applicable regulations.
Notice — Aug 30, 2019
Date: Aug 30, 2019
Visit Reason
This document serves as a renewal notification and license issuance for Sherwood Oaks Personal Care Home following receipt of the renewal application dated August 28, 2019.
Findings
No inspection findings are reported in this document. It confirms that a regular license is being issued and that an onsite inspection will be conducted within the next twelve months as required by regulation.
Report Facts
Inspection Report — Jun 11, 2019
Renewal
Date: Jun 11, 2019
Visit Reason
The inspection was a renewal visit conducted by the Department’s Bureau of Human Services Licensing to assess compliance with 55 Pa. Code Ch. 2600 for Personal Care Homes.
Findings
Violations of 55 Pa. Code Ch. 2600 were found during the inspection, including safety hazards related to bed frames and incomplete cognitive preadmission screening documentation. Plans of correction were submitted to address these issues.
Citations (3)
A piece of plywood protruding approximately 8 inches from resident #1’s bedframe posed a potential trip and fall hazard and required repair or replacement.
All canes and enablers in use by residents were not securely attached to bed frames or covered to reduce limb entrapment risk, requiring monthly inspections and documentation.
Resident #2’s written cognitive preadmission screening was undated, and the physician failed to date Part IV: Cognitive Screening, which was corrected on the day of inspection.
Report Facts
Residents Served: 72
Secure Dementia Care Unit Residents Served: 30
Current Hospice Residents: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lori Greer | Administrator | Named in relation to the plan of correction and signature on the report. |
Inspection Report — Aug 20, 2018
Renewal
Date: Aug 20, 2018
Visit Reason
This document is a renewal application and license issuance for Sherwood Oaks Personal Care Home. The Department notifies that an onsite annual inspection will be conducted within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It serves as a license renewal confirmation and notification of future inspection requirements.
Report Facts
Inspection Report — May 22, 2018
Renewal
Date: May 22, 2018
Visit Reason
The inspection was conducted as a renewal inspection of the Sherwood Oaks Personal Care Home to assess compliance with 55 Pa. Code Chapter 2600 regulations.
Findings
Multiple violations were found related to resident privacy, storage of poisonous materials, medication labeling, glucometer calibration, and staff training hours. Plans of correction were submitted with varying implementation statuses.
Citations (5)
55 Pa.Code §2600.42(s) - No sign indicating the home is recording the exit door in the bridge hallway was present on or near the exit door.
55 Pa.Code §2600.82(c) - A 19-ounce Great Value Disinfectant spray was unlocked and accessible in a cabinet between bedrooms, posing a risk due to poisonous materials not being secured.
55 Pa.Code §2600.184(a) - Prescription medication labels for residents #3 and #4 did not include the prescribed dosage and instructions for lunch and dinner administrations.
55 Pa.Code §2600.185(a) - Residents #3 and #6 glucometers were not calibrated to the correct time, and readings did not match medication administration records.
55 Pa.Code §2600.236 - Staff person B received only 6 hours of annual dementia care training instead of the required 6 hours plus 12 hours of annual training.
Report Facts
Number of Residents Served: 71
Number of Residents Served in Secured Dementia Care Unit: 29
Number of Hospice Residents in past year: 14
Walking Staff: 76
Total Daily Staff: 100
Notice — Aug 25, 2017
Date: Aug 25, 2017
Visit Reason
This document serves as a renewal notification and license issuance for the Personal Care Home 'Sherwood Oaks' following receipt of the renewal application dated August 22, 2017.
Findings
No inspection findings are reported in this document. It confirms that the Department will conduct an onsite inspection within the next twelve months as required by regulation.
Report Facts
Inspection Report — May 24, 2017
Renewal
Date: May 24, 2017
Visit Reason
The inspection was conducted as part of the Department of Human Services' annual licensing inspections for renewal of the facility license.
Findings
The facility was found to be in compliance with 55 Pa.Code Chapter 2600 after corrections were made. One violation was cited related to incomplete medication self-administration training for certain staff members.
Citations (1)
55 Pa.Code §2600.65(f) - The home's staff did not complete medication self-administration training during the 1/1-12/31 training year for three staff members.
Report Facts
Number of Residents Served: 67
Total Daily Staff: 98
Walking Staff: 72
Number of Residents Served in Secured Dementia Care Unit: 29
Number of Current Hospice Residents: 1
Number of Hospice Residents in Past Year: 16
Inspection Report — Aug 30, 2016
Renewal
Date: Aug 30, 2016
Visit Reason
This document is a renewal license issued to Sherwood Oaks Personal Care Home following receipt of the renewal application dated August 22, 2016. The Department advises that an onsite inspection will be conducted within the next twelve months as part of the annual inspection requirement.
Findings
No inspection findings are reported in this document. It serves as a license renewal certificate and notification letter confirming the facility's continued authorization to operate.
Report Facts
Inspection Report — Jul 11, 2016
Annual Inspection
Date: Jul 11, 2016
Visit Reason
The inspection was conducted as an annual licensing inspection and renewal of the facility license for Sherwood Oaks Personal Care Home.
Findings
Violations of 55 Pa.Code Chapter 2600 were found related to staff training, environmental safety, emergency preparedness, and fire safety. Plans of correction were submitted addressing training deficiencies, door safety, emergency plan posting, and fire drill documentation.
Citations (5)
Regulation 55 Pa.Code 2600.65(f) - Direct care staff did not receive required training on meeting resident needs and care for residents with mental illness or intellectual disability during the 2015 training year.
Regulation 55 Pa.Code 2600.65(g) - Direct care staff did not receive training on falls and accident prevention during the 2015 training year.
Regulation 55 Pa.Code 2600.92 - The door leading to the secured dementia unit's patio was propped open and not screened on 07/11/16.
Regulation 55 Pa.Code 2600.123(b) - The emergency preparedness plan for the municipality was not posted in a conspicuous and public place in the home on 07/11/16.
Regulation 55 Pa.Code 2600.132(b) - The most recent fire safety inspection and supervised fire drill conducted by a fire safety expert was completed on 08/04/15, not within the past year.
Report Facts
Number of Residents Served: 64
Total Daily Staff: 78
Walking Staff: 59
Number of Residents Age 60 or Older: 63
Number of Residents with Mobility Needs: 24
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