CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Southridge Rehab and Living Ctr
View the most recent health deficiencies and inspection results for Southridge Rehab and Living Ctr. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Southridge Rehab and Living Ctr. Stay informed about quality of care issues.
| 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 | 2025-07-07 | 2025-06-30 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-06-02 | 2025-06-13 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-03-05 | 2025-03-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-05 | 2025-03-27 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-03-05 | 2025-03-27 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-03-05 | 2025-03-27 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-06-26 | 2024-08-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-06-26 | 2024-08-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-26 | 2024-08-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-26 | 2024-08-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-26 | 2024-08-01 | N |
| 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 | 2024-06-26 | 2024-08-01 | 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 | 2024-06-26 | 2024-07-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-26 | 2024-07-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-06-26 | 2024-07-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-26 | 2024-07-05 | 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 | 2024-06-26 | 2024-07-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-26 | 2024-07-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-10 | 2023-04-24 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-03-10 | 2023-04-24 | N |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2023-03-10 | 2023-04-24 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-03-10 | 2023-04-24 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-03-10 | 2023-04-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-10 | 2023-04-24 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2023-03-10 | 2023-04-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-10 | 2023-04-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-10 | 2023-04-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-10 | 2023-04-24 | N |
| Report COVID19 data to residents and families. | Health | 2023-03-10 | 2023-04-12 | 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 | 2023-03-10 | 2023-04-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-03-10 | 2023-04-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-10 | 2023-04-12 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-03-10 | 2023-04-12 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2023-03-10 | 2023-04-12 | N |
| Dispose of garbage and refuse properly. | Health | 2023-03-10 | 2023-04-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-10 | 2023-04-12 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-03-10 | 2023-04-12 | 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 | 2023-03-10 | 2023-04-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-10 | 2023-04-12 | N |
| 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 | 2023-03-10 | 2023-04-12 | N |
| 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 | 2021-04-15 | 2021-07-14 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2021-04-15 | 2021-07-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-04-15 | 2021-06-23 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-04-15 | 2021-06-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-15 | 2021-06-23 | N |