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Deficiency Records for Southern Pointe Living Center
A list of the most recent deficiencies for Southern Pointe Living 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 Pointe Living 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2024-04-04 | 2024-05-20 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-04-04 | 2024-05-20 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-04-04 | 2024-05-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-04 | 2024-05-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-04 | 2024-05-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-04 | 2024-05-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-04-04 | 2024-05-20 | 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 | 2024-04-04 | 2024-05-20 | 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 | 2024-04-04 | 2024-05-20 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-04-04 | 2024-05-20 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2024-04-04 | 2024-05-20 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-01-02 | 2024-02-01 | Y |
| 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 | 2024-01-02 | 2024-02-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-02 | 2024-02-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-22 | 2023-05-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-22 | 2023-05-30 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2023-05-22 | 2023-05-30 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-14 | 2023-02-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-14 | 2023-02-28 | 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 | 2023-01-14 | 2023-02-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-14 | 2023-02-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-14 | 2023-02-28 | 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 | 2023-01-14 | 2023-02-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-14 | 2023-02-28 | 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 | 2023-01-14 | 2023-02-28 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2021-12-29 | 2022-02-07 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-07-22 | 2021-09-23 | N |
| Respond appropriately to all alleged violations. | Health | 2021-07-22 | 2021-09-23 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-07-22 | 2021-09-23 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-07-22 | 2021-09-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-22 | 2021-09-23 | 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 | 2021-07-22 | 2021-09-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-22 | 2021-09-23 | 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 | 2021-07-22 | 2021-09-23 | 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 | 2021-07-22 | 2021-09-23 | 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 | 2021-07-22 | 2021-09-23 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-07-22 | 2021-09-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-22 | 2021-09-23 | 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 | 2021-07-20 | 2021-08-26 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-07-20 | 2021-08-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-07-20 | 2021-08-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-07-20 | 2021-07-22 | N |
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