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Deficiency Records for Southpoint Rehabilitation and Healthcare Center
A list of the most recent deficiencies for Southpoint Rehabilitation and Healthcare 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 Southpoint Rehabilitation and Healthcare 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? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-24 | 2024-06-07 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-04-05 | 2024-05-24 | 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 | 2024-04-05 | 2024-05-24 | 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 | 2024-04-05 | 2024-05-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-05 | 2024-05-24 | 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 | 2024-04-05 | 2024-05-24 | N |
| Provide activities to meet all resident's needs. | Health | 2024-04-05 | 2024-05-24 | 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 | 2024-04-05 | 2024-05-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-05 | 2024-05-24 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-04-05 | 2024-05-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-05 | 2024-05-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-05 | 2024-05-24 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-04-05 | 2024-05-24 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-04-05 | 2024-05-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-05 | 2024-05-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-05 | 2024-05-24 | Y |
| 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 | 2024-04-05 | 2024-05-24 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-04-05 | 2024-05-24 | Y |
| Use approved construction type or materials. | Fire Safety | 2024-03-07 | 2024-04-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-03-07 | 2024-04-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-07 | 2024-04-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-07 | 2024-04-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-03-07 | 2024-04-05 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-11-20 | 2023-12-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-20 | 2023-12-18 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-08-18 | 2023-09-13 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-16 | 2023-05-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-16 | 2023-05-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-16 | 2023-05-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-16 | 2023-05-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-16 | 2023-05-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-16 | 2023-05-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-16 | 2023-05-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-16 | 2023-05-15 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-02-16 | 2023-05-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-16 | 2023-05-15 | N |
| Post nurse staffing information every day. | Health | 2023-01-10 | 2023-02-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-17 | 2023-01-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-10 | 2023-01-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-01-10 | 2023-01-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-10 | 2023-01-30 | 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 | 2023-01-10 | 2023-01-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-10 | 2023-01-30 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-01-10 | 2023-01-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-10 | 2023-01-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-22 | 2022-01-15 | Y |
| 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 | 2021-08-26 | 2021-09-02 | 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 | 2021-08-26 | 2021-09-02 | N |
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