Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Sharon Center For Health & Rehabilitation during CMS and state inspections, most recent first.
A resident with moderate cognitive impairment, an unsteady gait requiring walker assistance, and on Apixaban was inaccurately assessed as not being at risk for elopement, with the facility’s evaluation stating the resident lacked cognitive impairment and physical ability to leave. The resident’s care plan identified fall risk and need for assistance with transfers and ambulation, yet the resident exited through the alarmed front lobby door, which opened via a 15‑second egress mechanism. A therapeutic recreation assistant heard the door alarm, immediately silenced it without checking inside or outside the door and without notifying a supervisor, assuming it was related to a scheduled smoke break. The resident walked to a nearby hospital ED, where staff found the resident confused and documented disorientation and risk for elopement, while facility staff remained unaware of the resident’s absence for an extended period and had no written policy for staff response to exit door alarms, despite having multiple other residents identified as elopement risks.
A resident with moderate dementia and intact cognition was addressed by an LPN in a raised voice and with inappropriate language, including profanity, when the resident inquired about a scheduled smoke break. Multiple staff witnessed the incident, and the resident walked away to their room. The interaction did not meet the facility's policy for treating residents with dignity and respect.
A resident with dementia and other health issues had a DNR/DNI directive that was not updated in the clinical record, leading to CPR being performed contrary to their wishes. The social worker documented the change but failed to notify the nursing staff, resulting in the resident being treated as a full code. The facility lacked a policy for updating code status orders, and staff education did not include the social worker involved.
A facility failed to monitor the behaviors of a resident receiving antipsychotic medications for dementia with behavioral disturbances. Despite receiving notifications from a pharmacist to add target behaviors for monitoring, the facility did not document any monitoring from January to July. The resident's care plan indicated a potential for verbal abuse, and the APRN expected behaviors to be monitored every shift, but this was not done.
Failure to Supervise and Respond to Exit Alarm Resulting in Undetected Elopement
Penalty
Summary
The deficiency involves the facility’s failure to ensure adequate supervision and accident prevention for a resident with moderate cognitive impairment and an unsteady gait who was receiving Apixaban, a blood thinner. On admission, the nursing assessment documented that the resident required assistance for transfers, had an unsteady gait with poor trunk control, and was at risk for falls, with the resident care plan directing supervision for transfers and ambulation with a walker. An admission MDS identified a BIMS score of 9, indicating moderate cognitive impairment, and a need for partial assistance with bed mobility and transfers. Despite these findings, the facility’s elopement risk evaluation concluded that the resident was not at risk for wandering or elopement, stating that the resident did not have cognitive impairment, had the capacity to make informed decisions about leaving, and did not have the physical ability to leave the facility. On the day of the incident, the resident had a recent APRN remote visit for moderate bright red blood with stool while on Apixaban, with a plan to monitor for bleeding. That evening, the resident was last seen by an LPN at approximately 6:05–6:08 PM when medications were administered. Security video later reviewed by the DON showed the resident exiting the front lobby door at 6:07 PM, activating the 15‑second egress mechanism and door alarm. The front entrance door, which is locked after the receptionist leaves at 6:00 PM, is an egress door that unlocks after 15 seconds when pushed, and an alarm sounds when it is opened. A therapeutic recreation assistant, located near the lobby, heard the front door alarm, went to the door, and immediately deactivated the alarm using the staff code. She reported that she believed the alarm had been triggered for a scheduled supervised smoke break and did not realize it was around 6 PM. She did not look outside or inside the vicinity of the door for residents, did not search for any resident, and did not notify the nurse or supervisor that the alarm had sounded. The nursing supervisor later received a call from the hospital ED at 7:50 PM stating that the resident had arrived at 6:20 PM, appeared confused, believed they were in Texas, and reported living in elderly housing across the street. Hospital discharge documentation listed diagnoses including disorientation and at risk for elopement from a healthcare setting. The facility’s reportable event summary identified that staff were unaware the resident was out of the facility for one hour and 45 minutes, and the DON confirmed there was no written policy governing staff response to exit door alarms, while six additional residents had been identified by the facility as at risk for elopement. These failures were determined to have placed the resident and the six additional at‑risk residents in Immediate Jeopardy beginning on the date of the elopement.
Resident Not Treated with Dignity Due to Staff's Inappropriate Language
Penalty
Summary
A deficiency occurred when a resident with moderate dementia, anxiety, and tobacco use, but with intact cognition and independence in activities of daily living, was not treated in a respectful and dignified manner by a staff member. The resident, who was permitted to smoke only during designated times per physician orders and care plan, approached the nurse's station to inquire about the scheduled smoke break. At that time, an LPN responded to the resident in a raised voice and used inappropriate language, including profanity, stating it was not her job to take the resident out for a smoke break. Multiple staff members witnessed the incident, and the resident subsequently walked away to their room. Facility documentation and interviews confirmed that the LPN addressed the resident with a raised voice and used the word "damn" in her response. The resident reported not feeling embarrassed, humiliated, or threatened, and stated feeling safe after the incident. However, the interaction was found to be inconsistent with the facility's policy requiring residents to be treated with consideration, respect, and full recognition of their dignity and individuality. The incident was reported, documented, and corroborated by staff and the resident involved.
Failure to Honor Resident's Advance Directives
Penalty
Summary
The facility failed to honor a resident's advance directives following a change in condition. Resident #2, who had diagnoses including dementia with psychotic disturbances, atrial fibrillation, and malignant neoplasm of the prostate, had an advance directive indicating a DNR/DNI status as directed by their court-appointed conservator. However, the facility did not update the clinical record to reflect this change, and the resident was treated as a full code. This discrepancy was discovered when the resident was found unresponsive, and CPR was initiated contrary to the DNR/DNI directive. The social worker, SW #2, had documented the change in advance directives but failed to ensure the nursing staff was adequately informed, resulting in the clinical record not being updated. The RN Supervisor was not notified of the change, and the facility's documentation did not reflect the updated code status. The incident report revealed that CPR was performed until EMS arrived, at which point the DNR/DNI paperwork was found, and the EMS was informed. The facility lacked a policy regarding entering code status orders in the clinical records, and staff education on code status documentation did not include SW #2.
Failure to Monitor Behaviors for Resident on Antipsychotic Medication
Penalty
Summary
The facility failed to monitor the behaviors of a resident receiving antipsychotic medications, specifically Quetiapine Fumarate, for dementia with behavioral disturbances. The resident's diagnoses included dementia with behavioral disturbances, major depressive disorder, post-traumatic stress disorder, and anxiety disorder. Despite being identified as alert and oriented, and receiving antipsychotic medications routinely, the facility did not monitor the resident's target behaviors from January 23 through July 18, 2024, as required by the physician's orders and facility policy. The resident's care plan indicated a potential for verbal abuse due to dementia, and interventions were directed to monitor behaviors, but this was not implemented. The facility received notifications from the pharmacist in January and April 2024, recommending the addition of target behaviors for monitoring due to the resident's use of Seroquel and other psychotropic medications. However, the clinical and facility documentation did not reflect any monitoring of target behaviors during the specified timeframe. An interview with the APRN revealed an expectation for nursing staff to monitor target behaviors every shift and report any significant changes, but the APRN was unaware that monitoring was not conducted prior to July 19, 2024. The facility's policy on psychotropic medications required documentation of specific conditions or targeted behaviors in the clinical record, which was not adhered to in this case.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 77 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Sharon
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Noble Horizons | 8.3 mi | — | 30 | 1 |
| Geer Nursing And Rehabilitation | 11.9 mi | — | 0 | 0 |
| Havencare At Litchfield Woods | 18.1 mi | — | 0 | 0 |
| Wolcott Hall Nursing Center Inc | 18.8 mi | — | 1 | 0 |
| Torrington Center For Nursing & Rehabilitation Llc | 19.7 mi | — | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Sharon Center For Health & Rehabilitation.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.