Sharon Care Center
SHARON CARE CENTER in LOS ANGELES, CA — inspection on April 30, 2026.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During a concurrent observation and interview on 4/27/2026 at 11:37 AM with Resident 40 in Resident 40's room, Resident 40 had a Permacath on the right upper chest. Resident 40 stated the left upper arm AV fistula was removed and he (Resident 40) currently would get dialysis through the temporary Permcath. Resident 40 stated the right upper arm fistula was placed a couple months ago, but it could not be used until May 2026.
During a concurrent interview and record review on 4/29/2026 at 9:20 AM with Licensed Vocational Nurse 2 (LVN 2), Resident 40's Special Instructions, undated was reviewed.
The instructions indicated, No BP on left arm. LVN 2 stated new orders should have been obtained to ensure staff do not take BP on the right upper arm with the AV fistula.
During an interview on 4/29/2026 at 9:29 AM with Registered Nurse (RN) 1, RN 1 stated Resident 40's AV shunt site should have been updated in the chart but was not. RN 1 stated it is important for care plan interventions to be accurate because staff might take BP on the right arm which has the AV fistula. RN 1 stated pressure from the BP cuff can damage the AV fistula, cause clotting and make the HD access unusable.
During an interview on 4/29/2026 at 2:39 PM with the Minimum Data Set Coordinator (MDSC), the MDSC stated the dialysis order, AV fistula location, and BP restrictions should have been clarified with the doctor.
The MDSC stated orders and care plans must be updated for accuracy of care.
The MDSC stated taking BP on the access site can damage the AV fistula.
The MDSC stated Resident 88 could not get HD if there was no usable access site, so the toxins would build up in the body, and the resident would end up hospitalized .
During a concurrent interview and record review on 4/30/2026 at 10:20 AM with the DON, the facility's policy and procedure (P&P) titled, Dialysis Care, dated August 2021 was reviewed.
The P&P indicated The Interdisciplinary Team (IDT) will ensure that the resident's care plan includes documentation of the resident's renal condition and necessary precautions (e.g., shunt site, weights, dietary and fluid restrictions, no BP on affected side, lab draws, IV, injection on arm with shunt, observe for signs and symptoms of infection, etc.).
The DON stated the P&P was not followed because Resident 40's orders and care plan were not updated to reflect the resident's current condition.
The DON stated it was important to update care plans so staff (would know what care activities residents need.
- During a review of Resident 88's admission record, the admission record indicated the facility
originally admitted Resident 88 on 6/30/2022 and was readmitted on [DATE] with diagnoses including epilepsy (a disorder in which a nerve cell activity in the brain is disturbed causing seizure [a sudden, uncontrolled electrical disturbance in the brain]), cerebral infarction (also called stroke, a result of inadequate blood flow to the brain) and gastrostom
055755 04/30/2026
Sharon Care Center 8167 West Third St.
Los Angeles, CA 90048
During an interview on 4/29/26 at 11:05 a.m. with Registered Nurse (RN), RN 1 stated staff had to wear PPE when helping residents with activities of daily living such as changing diapers, feeding, and showering. RN 1 stated it was important to wear PPE to avoid the spread of infection, avoid possible contamination, and for the safety of residents and nurses.
During a concurrent interview and record review on 4/29/26 at 11:19 a.m. with the Infection Preventionist Nurse (IPN), the local health department document titled, Enhanced Barrier Precautions, dated September 2021 was reviewed by the IPN.
The IPN stated it was important to follow EBP to prevent infection and cross contamination.
During a concurrent interview and record review on 4/30/26 at 10:13 a.m. with the Director of Nursing (DON), the facility's policy and procedure (P&P) titled, Enhanced Standard/Barrier Precautions, revised on February 2025 was reviewed by the DON.
The DON stated the P&P was not followed.
The DON stated facility staff were expected to wear a gown and gloves for EBP.
During a review of the local health department document titled, Enhanced Barrier Precautions, dated September 2021, the document indicated that facility staff was to wear gloves and a gown for high-contact resident care activities such as dressing, grooming, bathing, changing bed linens, and feeding.
During a review of the facility's P&P titled Enhanced Standard/Barrier Precautions, revised by the facility on February 2025, the P&P indicated PPE for enhanced barrier precautions is only necessary when performing high-contact care activities.
055755 04/30/2026
Sharon Care Center 8167 West Third St.
Los Angeles, CA 90048
on 12/18/2025, the P&P indicated that all residents were to be offered pneumococcal vaccines to aid
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.