Deficiency Records for Southern Hills Healthcare and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Southern Hills Healthcare and Rehabilitation. 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? |
|---|---|---|---|---|
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-01-24 | 2024-02-09 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-01-24 | 2024-02-09 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-12-20 | 2024-01-15 | 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 | 2023-07-26 | 2023-08-31 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-08 | 2023-03-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-02-08 | 2023-03-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-08 | 2023-03-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-08 | 2023-03-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-02-08 | 2023-03-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-08 | 2023-03-31 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-01-19 | 2023-03-03 | Y |
| 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 | 2022-01-26 | 2022-03-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-26 | 2022-03-12 | N |
| Respond appropriately to all alleged violations. | Health | 2022-01-26 | 2022-03-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-26 | 2022-03-12 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-01-26 | 2022-03-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-26 | 2022-03-12 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-01-26 | 2022-03-12 | 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 | 2022-01-27 | 2022-03-12 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-01-27 | 2022-03-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-01-27 | 2022-03-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-15 | 2021-10-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-15 | 2021-10-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-15 | 2021-10-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-26 | 2021-07-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-26 | 2021-07-10 | 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 | 2021-05-26 | 2021-07-10 | Y |
