Deficiency Records for Southgate Health Care Center
Updated as of January 01, 2022
This is not the most recent data for Southgate Health Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Southgate Health Care Center. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-07 | 2021-10-08 | Y |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2021-09-03 | 2021-09-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-06 | 2021-04-23 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-01-20 | 2021-03-05 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-01-20 | 2021-03-05 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-01-20 | 2021-03-05 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-01-20 | 2021-03-05 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-01-20 | 2021-03-05 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2021-01-20 | 2021-03-05 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-01-20 | 2021-03-05 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-01-20 | 2021-03-05 | N |
| Develop a communication plan. | Fire Safety | 2021-01-20 | 2021-03-05 | N |
| Establish methods for sharing information. | Fire Safety | 2021-01-20 | 2021-03-05 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-01-20 | 2021-03-05 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-01-20 | 2021-03-05 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-01-20 | 2021-03-05 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-01-20 | 2021-03-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-01-20 | 2021-03-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-01-20 | 2021-02-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-01-20 | 2021-02-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-01-20 | 2021-02-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-01-22 | 2021-02-17 | 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 | 2021-01-22 | 2021-02-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-11-30 | 2020-12-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-08-12 | 2020-08-21 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-07-22 | 2020-08-14 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-03-15 | 2019-04-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-15 | 2019-04-17 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-03-13 | 2019-04-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-03-13 | 2019-04-17 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-03-13 | 2019-04-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-13 | 2019-04-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-13 | 2019-04-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-13 | 2019-04-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-05 | 2019-02-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-04-27 | 2018-05-18 | 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 | 2018-04-27 | 2018-05-18 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-04-27 | 2018-05-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-27 | 2018-05-18 | N |
| Provide two separate exits in rooms of more than 1000 square feet. | Fire Safety | 2018-04-25 | 2018-05-18 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-04-25 | 2018-05-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-25 | 2018-05-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-04-25 | 2018-05-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-04-25 | 2018-05-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-25 | 2018-05-18 | N |
