Deficiency Records for Southpointe Healthcare Center
Updated as of November 01, 2022
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? |
|---|---|---|---|---|
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-12-07 | 2021-12-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-12-07 | 2021-12-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-07 | 2021-12-21 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2021-12-07 | 2021-12-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-12-07 | 2021-12-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-22 | 2021-12-16 | 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 | 2021-11-22 | 2021-12-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-18 | 2021-04-09 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-07-29 | 2020-08-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-07-29 | 2020-08-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-07-29 | 2020-08-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-07-29 | 2020-08-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-05 | 2020-02-06 | N |
| Dispose of garbage and refuse properly. | Health | 2020-02-05 | 2020-02-06 | N |
| 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 |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 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 necessary and PRN use is limited. | 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 |
