Deficiency Records for Southern Pines Health and Rehab of Prescott
Updated as of March 01, 2024
A list of the most recent deficiencies for Southern Pines Health and Rehab of Prescott. 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 heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-21 | 2024-01-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-22 | 2023-12-22 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-11-22 | 2023-12-22 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-11-22 | 2023-12-22 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-11-22 | 2023-12-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-22 | 2023-12-22 | N |
| 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 | 2023-11-22 | 2023-12-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-22 | 2023-12-22 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-11-22 | 2023-12-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-22 | 2023-12-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-11-22 | 2023-12-22 | 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 | 2023-11-21 | 2023-12-22 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-11-21 | 2023-12-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-21 | 2023-12-22 | 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 | 2022-12-15 | 2023-01-14 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-12-15 | 2023-01-14 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-12-15 | 2023-01-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-15 | 2023-01-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-13 | 2023-01-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-01 | 2022-02-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-06 | 2021-10-29 | 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 | 2021-10-06 | 2021-10-29 | N |
| 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 | 2021-10-06 | 2021-10-29 | 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 | 2021-10-06 | 2021-10-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-06 | 2021-10-29 | N |
| Keep all essential equipment working safely. | Health | 2021-10-06 | 2021-10-29 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-09-22 | 2021-10-29 | 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 | 2021-09-22 | 2021-10-29 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-09-22 | 2021-10-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-09-22 | 2021-10-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-22 | 2021-10-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-22 | 2021-10-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-09-22 | 2021-09-22 | N |
