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Deficiency Records for Southgate Health Care Center
View the most recent health deficiencies and inspection results for Southgate Health Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Southgate Health Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2026-03-27 | 2026-04-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-03-27 | 2026-04-17 | 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 | 2026-01-27 | 2026-04-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-27 | 2026-04-03 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2026-01-27 | 2026-02-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-01-27 | 2026-02-10 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-11-19 | 2026-01-02 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2025-05-30 | 2025-06-15 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2025-04-18 | 2025-06-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-04-18 | 2025-06-02 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-04-18 | 2025-06-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-04-18 | 2025-06-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-04-18 | 2025-06-02 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-04-18 | 2025-06-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-18 | 2025-05-10 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-03-06 | 2025-03-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-03-06 | 2025-03-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-03-06 | 2025-03-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-03-06 | 2025-03-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-17 | 2024-10-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-10-17 | 2024-10-18 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-09-26 | 2024-10-03 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-09-13 | 2024-09-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-13 | 2024-08-09 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-31 | 2024-08-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-05-31 | 2024-07-16 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-05-31 | 2024-07-16 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-05-31 | 2024-07-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-05-31 | 2024-07-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-05-31 | 2024-07-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-05-31 | 2024-07-16 | 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 | 2024-05-31 | 2024-07-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-31 | 2024-07-16 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-05-31 | 2024-07-16 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2024-05-31 | 2024-07-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-05-31 | 2024-07-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-31 | 2024-07-16 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-05-31 | 2024-07-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-31 | 2024-07-16 | 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 | 2024-05-31 | 2024-06-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-31 | 2024-06-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-31 | 2024-06-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-31 | 2024-06-28 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-05-31 | 2024-06-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-31 | 2024-06-14 | 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 | 2024-05-31 | 2024-06-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-31 | 2024-06-07 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-04-14 | 2023-06-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-04-14 | 2023-05-19 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-04-14 | 2023-05-19 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-04-14 | 2023-05-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-04-14 | 2023-05-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-04-14 | 2023-05-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-14 | 2023-05-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-14 | 2023-05-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-14 | 2023-05-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-14 | 2023-05-19 | 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 | 2023-04-14 | 2023-05-10 | N |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2023-04-14 | 2023-05-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-04-14 | 2023-05-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-14 | 2023-05-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-14 | 2023-05-10 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-04-14 | 2023-05-10 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-04-14 | 2023-05-05 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-04-14 | 2023-05-05 | N |