A list of the most recent deficiencies for South Campus Care Center and Rehab. 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-15 | 2023-12-15 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-11-15 | 2023-12-15 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-15 | 2023-04-27 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-03-15 | 2023-04-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-15 | 2023-04-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-15 | 2023-04-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-15 | 2023-04-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-15 | 2023-04-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-15 | 2023-04-27 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-03-15 | 2023-04-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-15 | 2023-04-27 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-03-15 | 2023-04-27 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-03-15 | 2023-04-27 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-03-15 | 2023-04-27 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-03-15 | 2023-04-27 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-03-15 | 2023-04-27 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-03-15 | 2023-04-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-15 | 2023-04-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-30 | 2021-10-30 | 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 | 2021-09-30 | 2021-10-30 | 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 | 2021-09-30 | 2021-10-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-30 | 2021-10-23 | N |
| Post nurse staffing information every day. | Health | 2021-09-30 | 2021-10-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-30 | 2021-10-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-07 | 2020-03-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-07 | 2020-03-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-07 | 2020-03-08 | 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 | 2020-02-07 | 2020-03-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-07 | 2020-03-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-07 | 2020-03-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-04 | 2020-03-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-04 | 2020-03-08 | N |
