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Deficiency Records for Southridge Specialty Care
A list of the most recent deficiencies for Southridge Specialty Care. 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 Southridge Specialty Care. 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? |
|---|---|---|---|---|
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-06-26 | 2024-07-30 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-06-26 | 2024-07-26 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-06-26 | 2024-07-11 | N |
| Develop a communication plan. | Fire Safety | 2024-06-26 | 2024-07-11 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-06-26 | 2024-07-11 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-06-26 | 2024-07-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-06-26 | 2024-07-11 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-06-20 | 2024-07-10 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-06-20 | 2024-07-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-20 | 2024-07-10 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-26 | 2024-07-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-26 | 2024-07-09 | 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 | 2024-06-26 | 2024-07-02 | 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 | 2024-06-26 | 2024-07-02 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-06-26 | 2024-07-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-21 | 2024-04-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-21 | 2024-04-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-19 | 2024-01-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-19 | 2024-01-10 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-12-19 | 2024-01-10 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-23 | 2023-06-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-18 | 2023-06-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-18 | 2023-06-12 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-05-18 | 2023-06-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-18 | 2023-06-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-18 | 2023-06-12 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-23 | 2023-05-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-23 | 2023-05-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-23 | 2023-05-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-27 | 2023-01-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-27 | 2022-12-27 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-22 | 2022-09-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-22 | 2022-09-21 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-02-03 | 2022-02-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-03 | 2022-02-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-02-03 | 2022-02-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-03 | 2022-02-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-03 | 2022-02-17 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-02-03 | 2022-02-17 | 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 | 2022-02-03 | 2022-02-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-03 | 2022-02-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-03 | 2022-02-17 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-01-31 | 2022-02-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-01-31 | 2022-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-31 | 2022-01-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-31 | 2022-01-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-26 | Not Fixed | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-09-26 | Not Fixed | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-09-26 | Not Fixed | Y |
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