Deficiency Records for South Haven Health and Rehabilitation, LLC
Updated as of March 01, 2024
A list of the most recent deficiencies for South Haven Health and Rehabilitation, LLC. 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 properly protected cooking facilities. | Fire Safety | 2022-07-19 | 2022-08-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-19 | 2022-08-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-19 | 2022-08-23 | N |
| Provide activities to meet all resident's needs. | Health | 2022-07-14 | 2022-08-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-16 | 2022-01-28 | Y |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-06-24 | 2019-07-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-24 | 2019-07-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-24 | 2019-07-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-20 | 2019-07-25 | N |
| Dispose of garbage and refuse properly. | Health | 2019-06-20 | 2019-07-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-20 | 2019-07-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-07-10 | 2018-08-14 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-07-10 | 2018-08-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-07-10 | 2018-08-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-03 | 2018-08-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-03 | 2018-08-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-07-10 | 2018-08-07 | N |
