Deficiency Records for Southpointe Healthcare Center
Updated as of June 01, 2019
This is not the most recent data for Southpointe Healthcare Center. For the most recent information, click here.
A list of the most recent deficiencies for Southpointe Healthcare 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? |
|---|---|---|---|---|
| Provide emergency officials' contact information. | Fire Safety | 2019-02-21 | 2019-03-23 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-02-21 | 2019-03-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-02-21 | 2019-03-23 | N |
| Meet other general requirements. | Fire Safety | 2019-02-21 | 2019-03-23 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-02-21 | 2019-03-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-02-21 | 2019-03-23 | N |
| Be properly staffed | Fire Safety | 2019-02-21 | 2019-03-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-21 | 2019-03-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-02-21 | 2019-03-23 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-01-22 | 2019-02-21 | 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 | 2019-01-22 | 2019-02-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-01-22 | 2019-02-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-22 | 2019-02-21 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-01-22 | 2019-02-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-22 | 2019-02-21 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-01-22 | 2019-02-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-01-22 | 2019-02-21 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2019-01-22 | 2019-02-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-22 | 2019-02-21 | 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 | 2019-01-22 | 2019-02-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-22 | 2019-02-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-22 | 2019-02-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-07 | 2018-12-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-07 | 2018-12-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-07 | 2018-12-07 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-09-24 | 2018-10-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-09-24 | 2018-10-16 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-09-24 | 2018-10-16 | Y |
| Ensure a qualified health professional conducts resident assessments. | Health | 2018-09-24 | 2018-10-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-08-27 | 2018-09-14 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2018-06-04 | 2018-06-29 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-06-04 | 2018-06-29 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-05-10 | 2018-06-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-01-23 | 2018-02-19 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2018-01-12 | 2018-02-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-20 | 2018-01-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2017-12-20 | 2018-01-12 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-29 | 2017-07-24 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-11-29 | 2017-01-16 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2016-11-29 | 2017-01-16 | N |
| Ensure gas cylinders are properly stored. | Fire Safety | 2016-11-29 | 2017-01-16 | N |
