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Sherwood Oaks Health Center

📍 130 Dana Street, Fort-bragg, CA 95437 📞 (707) 964-6333 🛏️ 79 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2025 2 penalties totaling $8,970

$8,970
Feb 12, 2025

Fine

$0
Feb 12, 2025

Payment Denial

2021 2 penalties totaling $150,000

$150,000
Sep 7, 2021

Fine

$0
Sep 7, 2021

Payment Denial

2020 3 penalties totaling $28,556

$6,923
Oct 26, 2020

Fine

$15,000
Jul 15, 2020

Fine

$6,633
Mar 18, 2020

Fine

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Health Violations by Year

2025 3 violations

Tag 0600 D Feb 12, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Feb 27, 2025
Tag 0610 D Feb 12, 2025

Respond appropriately to all alleged violations.

✓ Corrected: Feb 27, 2025
Tag 0689 G Feb 12, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Feb 27, 2025

2024 19 violations

Tag 0600 E May 24, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Tag 0609 E May 24, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Tag 0623 E May 24, 2024

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Tag 0644 D May 24, 2024

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Tag 0655 E May 24, 2024

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Tag 0677 E May 24, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

Tag 0684 D May 24, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Tag 0685 D May 24, 2024

Assist a resident in gaining access to vision and hearing services.

Tag 0688 D May 24, 2024

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Tag 0692 E May 24, 2024

Provide enough food/fluids to maintain a resident's health.

Tag 0725 E May 24, 2024

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Tag 0726 E May 24, 2024

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Tag 0727 F May 24, 2024

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Tag 0732 E May 24, 2024

Post nurse staffing information every day.

Tag 0761 E May 24, 2024

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Tag 0804 E May 24, 2024

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Tag 0851 F May 24, 2024

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Tag 0865 F May 24, 2024

Have a plan that describes the process for conducting QAPI and QAA activities.

Tag 0880 E May 24, 2024

Provide and implement an infection prevention and control program.

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2023 3 violations

Tag 0801 F Dec 6, 2023

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

✓ Corrected: Dec 20, 2023
Tag 0600 G Jun 7, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jul 25, 2023
Tag 0609 D Jun 7, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jul 25, 2023

2022 14 violations

Tag 0559 E Dec 6, 2022

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

✓ Corrected: Dec 29, 2022
Tag 0725 D Dec 5, 2022

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Jan 13, 2023
Tag 0622 D May 20, 2022

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

✓ Corrected: Jul 29, 2022
Tag 0676 E May 20, 2022

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

✓ Corrected: Jul 29, 2022
Tag 0725 E May 20, 2022

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Jul 29, 2022
Tag 0801 F May 20, 2022

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

✓ Corrected: Jul 29, 2022
Tag 0803 E May 20, 2022

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

✓ Corrected: Jul 29, 2022
Tag 0808 E May 20, 2022

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

✓ Corrected: Jul 29, 2022
Tag 0812 F May 20, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jul 29, 2022
Tag 0867 E May 20, 2022

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

✓ Corrected: Jul 29, 2022
Tag 0725 F Jan 27, 2022

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Mar 4, 2022
Tag 0727 F Jan 27, 2022

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

✓ Corrected: Mar 4, 2022
Tag 0801 F Jan 27, 2022

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

✓ Corrected: Mar 4, 2022
Tag 0835 L Jan 27, 2022

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

✓ Corrected: Mar 4, 2022
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2021 4 violations

Tag 0580 D Nov 2, 2021

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Mar 3, 2022
Tag 0623 D Sep 29, 2021

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Nov 11, 2021
Tag 0880 E Sep 7, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 2, 2021
Tag 0550 D Apr 27, 2021

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Oct 4, 2021

2020 4 violations

Tag 0557 G Oct 26, 2020

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

✓ Corrected: Feb 18, 2021
Tag 0656 E Oct 13, 2020

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: May 13, 2021
Tag 0880 D Jul 15, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 17, 2020
Tag 0760 G Mar 18, 2020

Ensure that residents are free from significant medication errors.

✓ Corrected: Jan 15, 2021
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2019 12 violations

Tag 0576 C Sep 21, 2019

Ensure residents have reasonable access to and privacy in their use of communication methods.

✓ Corrected: Nov 12, 2019
Tag 0583 D Sep 21, 2019

Keep residents' personal and medical records private and confidential.

✓ Corrected: Nov 12, 2019
Tag 0607 E Sep 21, 2019

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Nov 12, 2019
Tag 0609 E Sep 21, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Nov 12, 2019
Tag 0610 E Sep 21, 2019

Respond appropriately to all alleged violations.

✓ Corrected: Nov 12, 2019
Tag 0644 D Sep 21, 2019

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

✓ Corrected: Nov 12, 2019
Tag 0660 D Sep 21, 2019

Plan the resident's discharge to meet the resident's goals and needs.

✓ Corrected: Nov 12, 2019
Tag 0677 D Sep 21, 2019

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Nov 12, 2019
Tag 0758 D Sep 21, 2019

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Nov 12, 2019
Tag 0880 E Sep 21, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 12, 2019
Tag 0908 D Sep 21, 2019

Keep all essential equipment working safely.

✓ Corrected: Nov 12, 2019
Tag 0689 D Apr 5, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: May 14, 2019

2018 17 violations

Tag 0557 E Sep 24, 2018

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

✓ Corrected: Nov 29, 2018
Tag 0576 F Sep 24, 2018

Ensure residents have reasonable access to and privacy in their use of communication methods.

✓ Corrected: Nov 29, 2018
Tag 0584 E Sep 24, 2018

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Nov 29, 2018
Tag 0623 D Sep 24, 2018

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Nov 29, 2018
Tag 0657 F Sep 24, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Nov 29, 2018
Tag 0685 D Sep 24, 2018

Assist a resident in gaining access to vision and hearing services.

✓ Corrected: Nov 29, 2018
Tag 0689 E Sep 24, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Nov 29, 2018
Tag 0725 F Sep 24, 2018

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Nov 29, 2018
Tag 0801 F Sep 24, 2018

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

✓ Corrected: Nov 29, 2018
Tag 0804 F Sep 24, 2018

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Nov 29, 2018
Tag 0808 D Sep 24, 2018

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

✓ Corrected: Nov 29, 2018
Tag 0812 F Sep 24, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Nov 29, 2018
Tag 0867 F Sep 24, 2018

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

✓ Corrected: Nov 29, 2018
Tag 0868 F Sep 24, 2018

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

✓ Corrected: Nov 29, 2018
Tag 0880 E Sep 24, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 29, 2018
Tag 0881 F Sep 24, 2018

Implement a program that monitors antibiotic use.

✓ Corrected: Nov 29, 2018
Tag 0675 D Jan 25, 2018

Honor each resident's preferences, choices, values and beliefs.

✓ Corrected: Mar 7, 2018
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2017 10 violations

Tag 0226 E Aug 7, 2017

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

✓ Corrected: Sep 22, 2017
Tag 0252 E Aug 7, 2017

Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.

✓ Corrected: Sep 22, 2017
Tag 0281 E Aug 7, 2017

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Sep 22, 2017
Tag 0356 C Aug 7, 2017

Post nurse staffing information/data on a daily basis.

✓ Corrected: Sep 22, 2017
Tag 0366 D Aug 7, 2017

Offer other nutritional food to each resident who will not eat the food served.

✓ Corrected: Sep 22, 2017
Tag 0371 F Aug 7, 2017

Store, cook, and serve food in a safe and clean way.

✓ Corrected: Sep 22, 2017
Tag 0431 F Aug 7, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

✓ Corrected: Sep 22, 2017
Tag 0441 E Aug 7, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Sep 22, 2017
Tag 0456 F Aug 7, 2017

Keep all essential equipment working safely.

✓ Corrected: Sep 22, 2017
Tag 0520 F Aug 7, 2017

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.

✓ Corrected: Sep 22, 2017
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