Sharon Care Center: Infection Control Failure - CA
The lapse was observed by inspectors on April 27, 2026, at 12:50 p.m. inside the room of a resident identified in inspection records as Resident 28. The certified nursing assistant, identified as CNA 6, was in the middle of feeding the resident when inspectors arrived.
CNA 6 knew something was different about this resident. She told inspectors that the green dot sticker on the resident's nameplate meant the resident was on some type of precaution, an infection control measure designed to prevent the spread of infections among residents, staff, and visitors. She knew the sticker was a warning. She put on gloves. She did not put on a gown.
That distinction mattered. Feeding is not an incidental interaction. It is close, sustained, hands-on contact, exactly the kind of activity that the county health department's own Enhanced Barrier Precautions document, dated September 2021, listed by name as requiring both gloves and a gown. Dressing, grooming, bathing, changing bed linens, feeding. All of them. The document had been in place for nearly five years when CNA 6 sat down to feed Resident 28.
Sharon Care Center's own internal policy said the same thing. The facility's procedure on Enhanced Standard and Barrier Precautions, which staff had revised as recently as February 2025, specified that protective equipment was required for high-contact care activities. Feeding qualified. A gown was required.
A registered nurse, identified in the report as RN 1, told inspectors two days later why any of this mattered. Staff had to wear PPE when helping residents with activities like changing diapers, feeding, and showering, she said. It was important, she explained, to avoid the spread of infection, avoid possible contamination, and protect both residents and nurses.
The Infection Preventionist Nurse reviewed the county health department document with inspectors and echoed that. Following Enhanced Barrier Precautions was important to prevent infection and cross contamination.
Then came the Director of Nursing.
On April 30, the last day of the inspection, the Director of Nursing sat down with inspectors and reviewed the facility's own policy. Her conclusion was direct. The policy was not followed. Staff were expected to wear a gown and gloves for enhanced barrier precautions. On April 27, one of them had not.
The inspection classified the violation as causing minimal harm or potential for actual harm, and noted that some residents were affected. No further details about Resident 28's specific infection precaution status, underlying condition, or any outcome were included in the inspection report.
What the report leaves is a straightforward sequence. A resident was placed on precautions for a reason. A green dot was affixed to her nameplate so that everyone who walked into her room would know. A nursing assistant saw the dot, understood it meant precautions, and still sat down to feed her without a gown. The county had a document saying that was wrong. The facility had a policy saying that was wrong. The facility's own director of nursing said, when asked directly, that the policy was not followed.
Sharon Care Center is located at 8167 West Third Street in Los Angeles.
The inspection was a complaint investigation. Someone had raised a concern. Inspectors came and watched, and within two days of arriving they had observed exactly what had been described.
Whether Resident 28 was harmed is not something the inspection report addresses. What it addresses is that a person on infection precautions, in a room marked with a warning, was fed by a staff member who skipped the protective gear meant to keep both of them safe.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Sharon Care Center from 2026-04-30 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 6, 2026 · Our methodology
SHARON CARE CENTER in LOS ANGELES, CA was cited for violations during a health inspection on April 30, 2026.
The lapse was observed by inspectors on April 27, 2026, at 12:50 p.m.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.