Shepherd Hills Senior Care LLC.

“Based on documentation review, record review, and interview, the manager failed to ensure, for two of two sampled residents, a documented residency agreement accurately included whether the manager or a caregiver is awake during nighttime hours. Findings include: 1. A documentation review of the facility work schedule revealed on each week in August 2025, E3 started a shift on Friday at 5 PM and worked through the following Monday at 8 AM, a 63 hour shift. The work schedule indicated E3 was the only caregiver on duty during the weekend shift. 2. A review of R1's and R2's medical records revealed each resident had a documented residency agreement. Each agreement stated, "At this facility, the caregiver will remain awake during the nighttime hours in order to meet the needs of the residents." 3. In an exit interview, the findings were reviewed with E1 and no additional information was provided.”

“Based on observation and interview, the manager failed to ensure food requiring refrigeration was maintained at 41° F or below. Findings include: 1. During an environmental inspection of the facility, the Compliance Officer observed two refrigerators in the kitchen, both used to store foods requiring refrigeration. The refrigerator on the right side had a thermometer at the back of the top shelf, a location normally the coldest location in a refrigerator. However, the thermometer read 44° F. 2. Approximately one hour later, the Compliance Officer rechecked the refrigerator and observed the thermometer read 49° F. 3. In an exit interview, the findings were reviewed with E1 and no additional information was provided.”