CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Southfield Wellness Community
View the most recent health deficiencies and inspection results for Southfield Wellness Community. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Southfield Wellness Community. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2026-02-19 | 2026-03-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-02-19 | 2026-03-16 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2026-02-19 | 2026-03-16 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2026-02-19 | 2026-03-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-02-19 | 2026-03-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-19 | 2026-03-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-02-19 | 2026-03-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2026-02-19 | 2026-03-16 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2026-02-19 | 2026-03-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-02-19 | 2026-03-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-02-19 | 2026-03-16 | Y |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2026-02-19 | 2026-03-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2026-02-19 | 2026-03-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2026-02-19 | 2026-03-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2026-02-19 | 2026-02-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-01-28 | 2026-02-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-12-17 | 2026-01-16 | Y |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2026-01-13 | 2026-01-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-11-18 | 2025-12-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-11-18 | 2025-12-19 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-11-18 | 2025-12-19 | Y |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-11-18 | 2025-12-19 | Y |
| 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 | 2025-11-18 | 2025-12-19 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-11-18 | 2025-12-19 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-03-03 | 2025-04-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-03 | 2025-04-02 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-03-03 | 2025-04-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-03 | 2025-04-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-03 | 2025-04-02 | Y |
| Implement a program that monitors antibiotic use. | Health | 2025-03-03 | 2025-04-02 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2025-03-03 | 2025-04-02 | N |
| 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 | 2025-03-03 | 2025-04-02 | 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 | 2025-03-03 | 2025-04-02 | N |
| Provide or arrange emergency care by a doctor 24 hours a day. | Health | 2025-03-03 | 2025-04-02 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-03-03 | 2025-04-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-03-03 | 2025-04-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-03-03 | 2025-03-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-03-03 | 2025-03-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-03-03 | 2025-03-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-03-03 | 2025-03-17 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-03-03 | 2025-03-14 | 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 | 2025-03-03 | 2025-03-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-03 | 2025-03-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-12-04 | 2024-12-19 | Y |
| 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 | 2024-12-04 | 2024-12-19 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-12-04 | 2024-12-19 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-11-06 | 2023-12-11 | Y |
| 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 | 2023-11-06 | 2023-12-11 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-11-06 | 2023-12-11 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-11-06 | 2023-12-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-06 | 2023-12-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-06 | 2023-12-11 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-11-06 | 2023-12-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-06 | 2023-12-11 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-11-06 | 2023-12-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-06 | 2023-12-11 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-11-06 | 2023-12-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-06 | 2023-12-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-06 | 2023-12-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-06 | 2023-12-11 | 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 | 2023-11-06 | 2023-12-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-06 | 2023-12-11 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-11-06 | 2023-12-11 | N |
| 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 | 2023-11-06 | 2023-12-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-11-06 | 2023-12-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-06 | 2023-12-11 | N |
| Respond appropriately to all alleged violations. | Health | 2023-11-06 | 2023-11-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-06 | 2023-11-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-06 | 2023-11-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-06 | 2023-11-29 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-06 | 2023-11-28 | 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 | 2023-11-06 | 2023-11-21 | N |