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Deficiency Records for Southern Hills Rehabilitation Center

A list of the most recent deficiencies for Southern Hills Rehabilitation 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 Southern Hills Rehabilitation 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?
Establish emergency prep training and testing. Fire Safety 2024-04-24 2024-05-31 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-04-24 2024-05-31 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-04-24 2024-05-31 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 2024-04-24 2024-05-31 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-04-24 2024-05-31 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2024-04-24 2024-05-31 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-04-24 2024-05-31 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-04-24 2024-05-31 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-04-24 2024-05-31 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-11-01 2023-12-20 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 2023-11-01 2023-12-20 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 2023-11-01 2023-12-20 N
Provide and implement an infection prevention and control program. Health 2023-11-01 2023-12-20 N
Implement a program that monitors antibiotic use. Health 2023-11-01 2023-12-20 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-11-01 2023-12-20 N
Protect each resident from the wrongful use of the resident's belongings or money. Health 2023-11-01 2023-12-20 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-11-01 2023-12-20 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2023-04-25 2023-06-30 Y
Provide enough food/fluids to maintain a resident's health. Health 2023-02-28 2023-04-17 Y
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2021-12-16 2022-03-07 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2021-12-16 2022-02-28 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2021-12-16 2022-02-28 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2021-12-16 2022-02-28 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-12-16 2022-02-28 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2021-12-16 2022-02-28 Y
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2021-12-16 2022-02-28 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2021-12-16 2022-02-28 Y
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 2021-12-14 2022-02-28 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2021-12-14 2022-02-28 N
Have properly located and lighted "Exit" signs. Fire Safety 2021-12-14 2022-02-28 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 2021-12-14 2022-02-28 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2021-12-14 2022-02-28 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-12-14 2022-02-28 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-12-16 2022-01-18 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2019-12-05 2020-02-25 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-12-05 2020-01-10 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 2019-12-05 2020-01-10 N
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 2019-12-05 2020-01-10 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2019-12-05 2020-01-10 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-12-05 2020-01-10 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-12-05 2020-01-10 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2019-12-05 2020-01-10 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 2019-12-05 2020-01-10 N
Ensure that residents are free from significant medication errors. Health 2019-12-05 2020-01-10 N
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2019-12-05 2020-01-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-12-05 2020-01-10 N
Provide and implement an infection prevention and control program. Health 2019-12-05 2020-01-10 N
Have exits that are accessible at all times. Fire Safety 2019-12-04 2019-12-30 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2019-12-04 2019-12-30 N
Have proper medical gas storage and administration areas. Fire Safety 2019-12-04 2019-12-30 N

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