A list of the most recent deficiencies for Southview Acres 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? |
|---|---|---|---|---|
| Have exits that are accessible at all times. | Fire Safety | 2023-11-30 | 2024-11-29 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-11-30 | 2024-05-01 | 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 | 2023-11-30 | 2024-03-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-30 | 2024-01-31 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-11-30 | 2023-12-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-30 | 2023-12-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-30 | 2023-12-27 | 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 | 2023-11-30 | 2023-12-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-30 | 2023-12-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-11-30 | 2023-12-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-30 | 2023-12-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-30 | 2023-12-27 | Y |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-11-30 | 2023-12-25 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-11-30 | 2023-12-25 | N |
| Respond appropriately to all alleged violations. | Health | 2023-09-28 | 2023-10-18 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2022-09-29 | 2023-09-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-03 | 2023-05-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-02 | 2023-03-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-17 | 2023-02-02 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-17 | 2023-02-02 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-03 | 2023-01-16 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-09-29 | 2022-11-08 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-09-29 | 2022-11-08 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-09-29 | 2022-11-08 | N |
| 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 | 2022-09-29 | 2022-11-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-09-29 | 2022-11-08 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-09-29 | 2022-11-08 | N |
| Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | Health | 2022-09-29 | 2022-11-08 | N |
| Ensure that paid feeding assistants have the training they need. | Health | 2022-09-29 | 2022-11-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-29 | 2022-11-08 | Y |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-09-29 | 2022-11-07 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-09-29 | 2022-11-07 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-09-29 | 2022-11-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-29 | 2022-11-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-09-29 | 2022-11-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-29 | 2022-11-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-29 | 2022-11-07 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2022-09-29 | 2022-11-07 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-03-17 | 2022-04-08 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-17 | 2022-04-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-17 | 2022-04-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-07 | 2022-03-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-07 | 2022-03-01 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-02-07 | 2022-03-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-24 | 2022-02-14 | Y |
| 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 | 2021-12-16 | 2022-01-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-12-16 | 2022-01-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-16 | 2022-01-18 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-16 | 2022-01-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-01 | 2021-12-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-18 | 2021-09-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-05 | 2021-08-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-08-05 | 2021-08-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-23 | 2021-08-19 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-07-23 | 2021-08-19 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-07-23 | 2021-08-19 | Y |
