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Deficiency Records for Southern Hills Specialty Care
A list of the most recent deficiencies for Southern Hills 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 Southern Hills 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-05-09 | 2024-05-20 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-05-09 | 2024-05-20 | N |
| Use approved construction type or materials. | Fire Safety | 2024-05-09 | 2024-05-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-09 | 2024-05-16 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-05-09 | 2024-05-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-09 | 2024-05-16 | N |
| Respond appropriately to all alleged violations. | Health | 2023-12-12 | 2023-12-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-22 | 2023-01-05 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-11-22 | 2023-01-05 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2022-11-22 | 2023-01-05 | 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 | 2022-11-22 | 2023-01-05 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-11-22 | 2023-01-05 | 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 | 2022-11-22 | 2023-01-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-22 | 2023-01-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-22 | 2023-01-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-22 | 2023-01-05 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-21 | 2022-12-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-21 | 2022-12-08 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-11-21 | 2022-12-01 | 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 | 2022-11-21 | 2022-11-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-21 | 2022-11-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-21 | 2022-11-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-11-21 | 2022-11-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-22 | 2022-10-29 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-14 | 2022-10-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-13 | 2021-06-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-13 | 2021-06-13 | 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 | 2021-05-13 | 2021-06-13 | 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 | 2021-05-13 | 2021-06-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-13 | 2021-06-13 | 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 | 2021-05-13 | 2021-06-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-13 | 2021-06-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-13 | 2021-06-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-07 | 2021-05-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-05-07 | 2021-05-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-07 | 2021-05-18 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-05-07 | 2021-05-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-07 | 2021-05-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-07 | 2021-05-18 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-05-07 | 2021-05-17 | N |
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