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Deficiency Records for Southpointe Healthcare and Rehabilitation
A list of the most recent deficiencies for Southpointe Healthcare and Rehabilitation. 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 Southpointe Healthcare and Rehabilitation. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-12 | 2024-04-10 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-02-08 | 2024-03-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-12 | 2023-08-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-12 | 2023-08-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-12 | 2023-08-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-12 | 2023-08-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-12 | 2023-08-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-12 | 2023-08-11 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-07-12 | 2023-08-11 | Y |
| 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 | 2023-07-12 | 2023-08-11 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-07-12 | 2023-08-11 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-12 | 2023-08-11 | Y |
| 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 | 2023-07-12 | 2023-08-11 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-07-12 | 2023-08-06 | 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 | 2023-07-12 | 2023-08-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-12 | 2023-08-06 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-07-12 | 2023-08-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-25 | 2023-02-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-25 | 2023-02-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-26 | 2021-09-24 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-08-26 | 2021-09-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-08-26 | 2021-09-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-08-26 | 2021-09-24 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-08-26 | 2021-09-24 | N |
| Post nurse staffing information every day. | Health | 2021-08-26 | 2021-09-24 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2021-08-26 | 2021-09-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-26 | 2021-09-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-26 | 2021-09-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-21 | 2019-09-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-08-21 | 2019-09-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-21 | 2019-09-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-21 | 2019-09-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-21 | 2019-09-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-21 | 2019-09-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-21 | 2019-09-16 | N |
| Keep all essential equipment working safely. | Health | 2019-08-21 | 2019-09-16 | N |
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