Deficiency Records for Southport Center For Nursing and Rehabilitation LLC
Updated as of February 01, 2020
This is not the most recent data for Southport Center For Nursing and Rehabilitation LLC. For the most recent information, click here.
A list of the most recent deficiencies for Southport Center For Nursing 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2019-06-12 | 2019-06-24 | 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 | 2019-06-12 | 2019-06-24 | 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 ne | Health | 2019-06-12 | 2019-06-24 | 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 | 2019-06-12 | 2019-06-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-12 | 2019-06-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-02-06 | 2019-03-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-02-06 | 2019-03-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-06 | 2019-03-12 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-11-30 | 2019-01-07 | 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 | 2018-11-30 | 2019-01-07 | 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 | 2018-11-30 | 2019-01-07 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2018-11-30 | 2019-01-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-11-30 | 2019-01-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-30 | 2019-01-07 | N |
| Dispose of garbage and refuse properly. | Health | 2018-11-30 | 2019-01-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-11-30 | 2019-01-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-11-30 | 2019-01-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-30 | 2019-01-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-30 | 2019-01-07 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-11-30 | 2019-01-07 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-11-30 | 2019-01-07 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-11-30 | 2019-01-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-11-30 | 2018-11-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-30 | 2018-11-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-10-01 | 2018-10-01 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-05-11 | 2018-08-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-24 | 2018-08-18 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-05-24 | 2018-08-18 | 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 | 2018-05-24 | 2018-08-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-24 | 2018-07-11 | 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 | 2018-05-24 | 2018-07-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-24 | 2018-07-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-05-24 | 2018-07-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-05-24 | 2018-07-05 | Y |
| 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 | 2018-05-24 | 2018-07-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-05-24 | 2018-07-05 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-05-24 | 2018-07-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-24 | 2018-07-05 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-24 | 2018-07-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-05-24 | 2018-07-05 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-05-24 | 2018-07-05 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2018-05-24 | 2018-07-05 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-05-24 | 2018-07-05 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-05-24 | 2018-07-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-24 | 2018-05-24 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-08-22 | 2017-11-10 | Y |
| Provide housekeeping and maintenance services. | Health | 2017-08-22 | 2017-11-10 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-08-22 | 2017-11-10 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-08-22 | 2017-11-10 | Y |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2017-08-22 | 2017-11-10 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-08-22 | 2017-11-10 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2017-08-22 | 2017-09-29 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-08-22 | 2017-09-29 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-08-22 | 2017-09-29 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-08-22 | 2017-09-29 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2017-08-22 | 2017-09-29 | Y |
| Maintain comfortable and safe temperature levels. | Health | 2017-08-22 | 2017-09-29 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2017-08-22 | 2017-09-29 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-22 | 2017-09-29 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-08-22 | 2017-09-29 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-08-22 | 2017-09-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-22 | 2017-09-29 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-08-22 | 2017-09-29 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2017-08-22 | 2017-09-29 | Y |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-08-22 | 2017-09-29 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-22 | 2017-09-29 | Y |
| Provide or obtain dental services for each resident. | Health | 2017-08-22 | 2017-09-29 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-08-22 | 2017-09-29 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-22 | 2017-09-29 | Y |
| Keep all essential equipment working safely. | Health | 2017-08-22 | 2017-09-29 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility | Health | 2017-08-22 | 2017-09-29 | Y |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2017-08-22 | 2017-09-29 | Y |
| Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. | Health | 2017-08-22 | 2017-09-29 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-22 | 2017-09-29 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-22 | 2017-08-22 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-08-22 | 2017-08-22 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-03-06 | 2017-04-03 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-03-06 | 2017-04-03 | Y |
