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Deficiency Records for Southeast Health Care Center

A list of the most recent deficiencies for Southeast 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 Southeast 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?
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-05-14 2024-08-02 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-05-14 2024-08-02 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-05-14 2024-06-28 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-05-14 2024-06-28 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2024-05-14 2024-06-28 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-05-07 2024-06-16 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2024-05-07 2024-06-16 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2024-05-07 2024-06-16 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-05-07 2024-06-16 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-05-07 2024-06-16 N
Provide and implement an infection prevention and control program. Health 2024-05-07 2024-06-16 N
Implement a program that monitors antibiotic use. Health 2024-05-07 2024-06-16 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-05-07 2024-06-16 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 2024-05-07 2024-06-16 N
Keep all essential equipment working safely. Health 2024-05-07 2024-06-16 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-05-07 2024-06-16 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2024-03-28 2024-04-18 Y
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2024-03-28 2024-04-18 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-11-30 2023-12-28 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-11-30 2023-12-28 Y
Respond appropriately to all alleged violations. Health 2023-09-19 2023-10-16 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-02-07 2023-03-20 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-02-07 2023-03-20 Y
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2022-10-12 2022-11-21 N
Keep all essential equipment working safely. Health 2022-10-12 2022-11-21 N
Implement emergency and standby power systems. Fire Safety 2022-10-12 2022-11-17 N
Install an approved automatic sprinkler system. Fire Safety 2022-10-12 2022-11-17 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-10-12 2022-11-17 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-10-12 2022-11-17 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2022-10-12 2022-11-17 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-10-12 2022-11-17 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2022-10-12 2022-11-01 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2022-10-12 2022-11-01 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2022-10-12 2022-11-01 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2022-10-12 2022-11-01 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-10-12 2022-11-01 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 2022-10-12 2022-11-01 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-10-12 2022-11-01 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-10-12 2022-11-01 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 2022-10-12 2022-11-01 N
Provide enough food/fluids to maintain a resident's health. Health 2022-10-12 2022-11-01 N
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 2022-10-12 2022-11-01 N
Post nurse staffing information every day. Health 2022-10-12 2022-11-01 N
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2022-10-12 2022-11-01 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2022-10-12 2022-11-01 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2022-10-12 2022-11-01 N
Provide and implement an infection prevention and control program. Health 2022-10-12 2022-11-01 N
Report COVID19 data to residents and families. Health 2022-10-12 2022-11-01 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-10-12 2022-11-01 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-10-12 2022-10-24 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-10-12 2022-10-24 N
Respond appropriately to all alleged violations. Health 2022-10-12 2022-10-24 N
Provide and implement an infection prevention and control program. Health 2021-12-21 2022-01-31 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2020-10-13 2020-12-14 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2020-10-13 2020-12-14 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2020-10-15 2020-12-13 N
Establish policies and procedures including evacuation. Fire Safety 2020-10-15 2020-12-13 N
Establish roles under a Waiver declared by secretary. Fire Safety 2020-10-15 2020-12-13 N
Provide emergency officials' contact information. Fire Safety 2020-10-15 2020-12-13 N
Implement emergency and standby power systems. Fire Safety 2020-10-15 2020-12-13 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2020-10-15 2020-12-13 N
Properly install and monitor supervisory attachments on automatic sprinkler systems. Fire Safety 2020-10-15 2020-12-13 N
Have simulated fire drills held at unexpected times. Fire Safety 2020-10-15 2020-12-13 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2020-10-15 2020-12-13 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2020-10-15 2020-12-13 N
Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source Health 2020-10-13 2020-12-02 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2020-10-13 2020-12-02 N
Assist a resident in gaining access to vision and hearing services. Health 2020-10-13 2020-12-02 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2020-10-13 2020-12-02 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2020-10-13 2020-12-02 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2020-10-13 2020-12-02 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2020-10-13 2020-12-02 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2020-10-13 2020-12-02 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2020-10-13 2020-12-02 N
Provide and implement an infection prevention and control program. Health 2020-10-13 2020-12-02 N
Perform COVID19 testing on residents and staff. Health 2020-10-13 2020-12-02 N

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