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Deficiency Records for Southern Pines Nursing Center
A list of the most recent deficiencies for Southern Pines Nursing Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Southern Pines Nursing Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-10-19 | 2023-11-19 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-10-19 | 2023-11-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-19 | 2023-11-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-19 | 2023-11-19 | N |
| 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. | Health | 2023-10-19 | 2023-11-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-19 | 2023-11-19 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-10-19 | 2023-11-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-19 | 2023-11-19 | N |
| 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. | Health | 2023-10-19 | 2023-11-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-19 | 2023-11-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-18 | 2023-11-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-18 | 2023-03-17 | Y |
| 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. | Health | 2023-04-18 | 2023-03-17 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-18 | 2023-03-17 | Y |
| 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. | Health | 2021-09-03 | 2021-10-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-03 | 2021-10-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-03 | 2021-10-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-09-03 | 2021-10-03 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-09-03 | 2021-10-03 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-09-01 | 2021-10-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-01 | 2021-10-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-01 | 2021-10-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-01 | 2021-10-03 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-01-09 | 2020-02-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-01-09 | 2020-02-20 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2020-01-09 | 2020-02-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-01-09 | 2020-02-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-01-09 | 2020-02-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-09 | 2020-02-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-09 | 2020-02-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-09 | 2020-02-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-09 | 2020-02-20 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2020-01-09 | 2020-02-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-10 | 2020-02-10 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-01-10 | 2020-02-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-10 | 2020-02-10 | N |
| 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. | Health | 2020-01-10 | 2020-02-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-10 | 2020-02-10 | N |
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