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Deficiency Records for Southbridge Rehabilitation and Health Care Center

A list of the most recent deficiencies for Southbridge Rehabilitation and 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 Southbridge Rehabilitation and 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?
Implement emergency and standby power systems. Fire Safety 2023-11-09 2023-12-17 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-11-09 2023-12-17 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 2023-11-09 2023-12-17 N
Install an approved automatic sprinkler system. Fire Safety 2023-11-09 2023-12-17 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-11-09 2023-12-17 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-11-09 2023-12-17 N
Keep residents' personal and medical records private and confidential. Health 2023-10-25 2023-12-03 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2023-10-25 2023-12-03 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-10-25 2023-12-03 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2023-10-25 2023-12-03 N
Ensure each resident receives an accurate assessment. Health 2023-10-25 2023-12-03 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2023-10-25 2023-12-03 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-10-25 2023-12-03 N
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Health 2023-10-25 2023-12-03 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2023-10-25 2023-12-03 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 2023-10-25 2023-12-03 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 2023-10-25 2023-12-03 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-10-25 2023-12-03 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-05-10 2023-05-05 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-09-23 2022-11-07 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2022-09-23 2022-11-07 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-09-23 2022-11-07 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-09-23 2022-11-07 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2022-09-23 2022-11-07 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-09-23 2022-11-07 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2022-09-23 2022-11-07 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-09-23 2022-11-07 N
Provide appropriate foot care. Health 2022-09-23 2022-11-07 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-23 2022-11-07 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2022-09-23 2022-11-07 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-09-23 2022-11-07 N
Ensure that residents are free from significant medication errors. Health 2022-09-23 2022-11-07 N
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. Health 2022-09-23 2022-11-07 N
Provide and implement an infection prevention and control program. Health 2022-09-23 2022-11-07 N
Perform COVID19 testing on residents and staff. Health 2022-09-23 2022-11-07 N
Ensure staff are vaccinated for COVID-19 Health 2022-09-23 2022-11-07 N
Implement emergency and standby power systems. Fire Safety 2022-09-27 2022-10-28 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-09-27 2022-10-28 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2022-09-27 2022-10-28 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-09-27 2022-10-28 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-06-01 2021-07-28 N
Ensure each resident receives an accurate assessment. Health 2021-06-01 2021-07-28 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-06-01 2021-07-28 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-06-01 2021-07-28 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-06-01 2021-07-28 N
Assist a resident in gaining access to vision and hearing services. Health 2021-06-01 2021-07-28 N
Provide enough food/fluids to maintain a resident's health. Health 2021-06-01 2021-07-28 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2021-06-01 2021-07-28 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2021-06-01 2021-07-28 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 2021-06-01 2021-07-28 N
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2021-06-01 2021-07-28 N
Provide or obtain dental services for each resident. Health 2021-06-01 2021-07-28 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-06-01 2021-07-28 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-06-01 2021-07-28 N
Provide and implement an infection prevention and control program. Health 2021-06-01 2021-07-28 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-06-07 2021-07-19 N

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