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Deficiency Records for Southeast Nursing and Rehabilitation Center

A list of the most recent deficiencies for Southeast Nursing and 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 Southeast Nursing and 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?
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-01-10 2024-02-10 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-01-10 2024-02-01 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 2024-01-13 2024-01-26 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-13 2024-01-26 Y
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 2024-01-13 2024-01-19 Y
Reasonably accommodate the needs and preferences of each resident. Health 2024-01-13 2024-01-15 Y
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-01-13 2024-01-15 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2024-01-13 2024-01-15 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-01-13 2024-01-15 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-13 2024-01-15 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 2024-01-13 2024-01-15 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-01-13 2024-01-15 Y
Ensure medication error rates are not 5 percent or greater. Health 2024-01-13 2024-01-15 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 2024-01-13 2024-01-15 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-01-13 2024-01-15 Y
Dispose of garbage and refuse properly. Health 2024-01-13 2024-01-15 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-01-13 2024-01-15 Y
Meet other general requirements. Fire Safety 2024-01-10 2024-01-15 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-01-10 2024-01-15 N
Provide and implement an infection prevention and control program. Health 2024-01-13 2024-01-14 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 2023-12-01 2023-12-02 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-10-13 2023-10-14 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-10-13 2023-10-14 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-08-19 2023-09-22 Y
Keep residents' personal and medical records private and confidential. Health 2023-08-19 2023-09-22 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-08-19 2023-09-22 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-08-19 2023-09-22 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-08-19 2023-09-22 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2023-08-19 2023-09-22 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-08-19 2023-09-22 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 2023-08-19 2023-09-22 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-08-19 2023-09-22 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-08-25 2023-09-19 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-07-31 2023-08-01 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-05-18 2023-06-23 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-05-18 2023-06-23 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2023-05-18 2023-06-23 Y
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Health 2023-05-18 2023-06-23 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-05-18 2023-06-23 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-01-12 2023-02-12 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-01-12 2023-02-12 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-01-12 2023-01-16 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-01-12 2023-01-16 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-12-15 2023-01-16 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-01-12 2023-01-13 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-12-02 2022-12-30 Y
Have properly located and lighted "Exit" signs. Fire Safety 2022-11-18 2022-12-28 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-11-18 2022-12-28 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-11-18 2022-12-28 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-11-18 2022-12-28 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-11-18 2022-12-28 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-11-18 2022-12-28 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-11-18 2022-12-28 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2022-11-18 2022-12-23 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-11-18 2022-12-23 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-11-18 2022-12-23 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-11-18 2022-12-23 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-11-18 2022-12-23 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-11-18 2022-12-23 Y
Keep residents' personal and medical records private and confidential. Health 2022-02-16 2022-02-23 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-02-16 2022-02-23 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-02-02 2022-02-03 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-12-24 2021-12-31 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2021-12-24 2021-12-31 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-09-17 2021-09-30 N
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2021-09-17 2021-09-30 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-09-14 2021-09-30 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2021-09-14 2021-09-30 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-09-14 2021-09-30 N

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