CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for South Haven Nursing and Rehabilitation Community
View the most recent health deficiencies and inspection results for South Haven Nursing and Rehabilitation Community. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for South Haven Nursing and Rehabilitation Community. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Establish policies and procedures for sheltering. | Fire Safety | 2025-12-17 | 2026-01-23 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-12-17 | 2026-01-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-12-17 | 2026-01-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-12-17 | 2026-01-23 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2025-12-17 | 2026-01-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-12-17 | 2026-01-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-12-17 | 2026-01-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-12-17 | 2026-01-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-12-17 | 2026-01-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-17 | 2026-01-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-12-17 | 2026-01-23 | 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 | 2025-12-17 | 2026-01-23 | N |
| Have exits that are accessible at all times. | Fire Safety | 2025-12-17 | 2026-01-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-12-17 | 2026-01-23 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-12-17 | 2026-01-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-12-17 | 2026-01-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-17 | 2026-01-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-12-17 | 2026-01-16 | N |
| Provide activities to meet all resident's needs. | Health | 2025-12-17 | 2026-01-16 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2025-12-17 | 2026-01-16 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2025-12-17 | 2026-01-16 | N |
| Provide appropriate foot care. | Health | 2025-12-17 | 2026-01-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-12-17 | 2026-01-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-12-17 | 2026-01-16 | 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 | 2025-12-17 | 2026-01-16 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-12-17 | 2026-01-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-12-17 | 2026-01-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-17 | 2026-01-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-12-17 | 2026-01-16 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-12-17 | 2026-01-16 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-12-17 | 2026-01-16 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2025-12-17 | 2026-01-16 | N |
| 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 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-12-17 | 2026-01-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-06-18 | 2025-07-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-18 | 2025-03-04 | 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 | 2024-10-01 | 2024-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-01 | 2024-10-31 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-10-01 | 2024-10-31 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-10-01 | 2024-10-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-01 | 2024-10-31 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-10-01 | 2024-10-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-10-01 | 2024-10-31 | N |
| 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 | 2024-10-01 | 2024-10-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-10-01 | 2024-10-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-01 | 2024-10-31 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-10-01 | 2024-10-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-01 | 2024-10-31 | N |
| 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 | 2024-10-01 | 2024-10-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-01 | 2024-10-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-01 | 2024-10-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-01 | 2024-10-18 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-10-01 | 2024-10-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-01 | 2024-10-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-10-01 | 2024-10-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-12 | 2024-05-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-12 | 2024-05-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-12 | 2024-05-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-12 | 2024-05-17 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-18 | 2023-11-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-18 | 2023-11-20 | 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 | 2023-10-18 | 2023-11-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-11 | 2023-11-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-11 | 2023-11-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-18 | 2023-11-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-18 | 2023-11-20 | 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 | 2023-10-18 | 2023-11-20 | 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 | 2023-10-18 | 2023-11-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-18 | 2023-11-20 | N |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2023-10-18 | 2023-11-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-18 | 2023-11-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-18 | 2023-11-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-10-18 | 2023-11-20 | N |