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Deficiency Records for Southwell Health and Rehabilitation
View the most recent health deficiencies and inspection results for Southwell Health and Rehabilitation. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Southwell Health and Rehabilitation. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2026-01-15 | 2026-03-06 | 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 | 2026-01-15 | 2026-03-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-01-15 | 2026-03-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2026-01-15 | 2026-03-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2026-01-15 | 2026-03-02 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-09-13 | 2024-10-28 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2024-09-13 | 2024-10-28 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-09-13 | 2024-10-28 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-09-13 | 2024-10-28 | 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 | 2024-09-13 | 2024-10-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-13 | 2024-10-28 | N |
| Respond appropriately to all alleged violations. | Health | 2024-09-13 | 2024-10-28 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-09-13 | 2024-10-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-09-13 | 2024-10-28 | 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 | 2024-09-13 | 2024-10-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-13 | 2024-10-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-09-13 | 2024-10-28 | 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 | 2023-11-30 | 2024-01-14 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-27 | 2022-12-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-27 | 2022-12-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-27 | 2022-12-11 | 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 necessary and PRN use is limited. | Health | 2022-10-27 | 2022-12-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-27 | 2022-12-11 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2022-10-27 | 2022-11-11 | N |