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Deficiency Records for Southgate Health Care Center
A list of the most recent deficiencies for Southgate Health Care 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 Southgate Health Care 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-12 | 2024-08-02 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-06-12 | 2024-07-16 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-06-12 | 2024-07-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-06-12 | 2024-07-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-06-12 | 2024-07-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-06-12 | 2024-07-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-06-12 | 2024-07-16 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-06-12 | 2024-07-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-12 | 2024-07-16 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-06-12 | 2024-07-16 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2024-06-12 | 2024-07-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-06-12 | 2024-07-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-12 | 2024-07-16 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-06-12 | 2024-07-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-12 | 2024-07-16 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-05-31 | 2024-06-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-31 | 2024-06-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-31 | 2024-06-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-31 | 2024-06-28 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-05-31 | 2024-06-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-31 | 2024-06-14 | 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 | 2024-05-31 | 2024-06-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-31 | 2024-06-07 | N |
| 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. | Health | 2023-04-14 | 2023-06-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-27 | 2023-05-22 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-04-17 | 2023-05-19 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-04-17 | 2023-05-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-04-17 | 2023-05-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-04-17 | 2023-05-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-17 | 2023-05-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-17 | 2023-05-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-17 | 2023-05-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-04-17 | 2023-05-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-17 | 2023-05-19 | N |
| 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 | 2023-04-14 | 2023-05-10 | N |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2023-04-14 | 2023-05-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-04-14 | 2023-05-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-14 | 2023-05-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-14 | 2023-05-10 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-04-14 | 2023-05-10 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-04-17 | 2023-05-05 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-04-17 | 2023-05-05 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-01-23 | 2023-02-03 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-01-23 | 2023-02-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-23 | 2023-02-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-29 | 2022-12-30 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-11-29 | 2022-12-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-29 | 2022-12-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-08 | 2022-06-15 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-17 | 2022-04-08 | N |
| 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 | 2022-03-17 | 2022-04-08 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-17 | 2022-04-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-17 | 2022-04-08 | N |
| Respond appropriately to all alleged violations. | Health | 2022-03-17 | 2022-04-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-17 | 2022-04-08 | N |
| Provide activities to meet all resident's needs. | Health | 2022-03-17 | 2022-04-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-17 | 2022-04-08 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-03-17 | 2022-04-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-17 | 2022-04-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-03-17 | 2022-04-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-17 | 2022-04-08 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-03-15 | 2022-04-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-03-15 | 2022-04-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-15 | 2022-04-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-15 | 2022-04-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-22 | 2022-01-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-07 | 2021-10-08 | Y |
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