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Deficiency Records for Southside Care Center
View the most recent health deficiencies and inspection results for Southside Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Southside Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Create arrangements with other facilities to receive patients. | Fire Safety | 2026-04-06 | 2026-05-29 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2026-04-06 | 2026-05-29 | Y |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2026-04-06 | 2026-05-29 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2026-04-06 | 2026-05-29 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2026-04-06 | 2026-05-29 | N |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2026-04-06 | 2026-05-29 | 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 | 2026-04-06 | 2026-05-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2026-04-06 | 2026-05-29 | N |
| Implement a program that monitors antibiotic use. | Health | 2026-04-06 | 2026-05-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-04-06 | 2026-05-29 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2026-04-06 | 2026-05-29 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2026-04-06 | 2026-05-29 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2026-04-06 | 2026-05-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-04-06 | 2026-05-29 | N |
| Provide or obtain dental services for each resident. | Health | 2026-04-06 | 2026-05-29 | N |
| Post nurse staffing information every day. | Health | 2026-04-06 | 2026-05-29 | 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 | 2026-04-06 | 2026-05-29 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2026-04-06 | 2026-05-29 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2026-04-06 | 2026-05-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-04-06 | 2026-05-29 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2026-04-06 | 2026-05-29 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2026-04-06 | 2026-05-29 | 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 | 2026-04-06 | 2026-05-29 | N |
| Provide activities to meet all resident's needs. | Health | 2026-04-06 | 2026-05-29 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2026-04-06 | 2026-05-29 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2026-04-06 | 2026-05-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2026-04-06 | 2026-05-29 | N |
| 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 | 2026-04-06 | 2026-03-31 | 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 | 2025-02-03 | 2025-04-04 | 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 | 2025-02-03 | 2025-04-04 | 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 | 2025-02-03 | 2025-04-04 | N |
| Provide activities to meet all resident's needs. | Health | 2025-02-03 | 2025-04-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-03 | 2025-04-04 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-02-03 | 2025-04-04 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2025-02-03 | 2025-04-04 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2025-02-03 | 2025-04-04 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-02-03 | 2025-04-04 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-02-03 | 2025-04-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-03 | 2025-04-04 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2025-02-03 | 2025-04-04 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-02-03 | 2025-04-04 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-02-03 | 2025-04-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-02-03 | 2025-04-04 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-02-03 | 2025-04-04 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-02-03 | 2025-04-04 | 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 | 2025-02-03 | 2025-04-04 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2025-02-03 | 2025-04-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-03 | 2025-04-04 | N |
| Post nurse staffing information every day. | Health | 2025-02-03 | 2025-04-04 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-10-23 | 2024-11-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-30 | 2024-02-09 | 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 | 2023-11-30 | 2024-02-09 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-11-30 | 2024-02-09 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-11-30 | 2024-02-09 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-11-30 | 2024-02-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-30 | 2024-02-09 | N |
| Provide or obtain dental services for each resident. | Health | 2023-11-30 | 2024-02-09 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-11-30 | 2024-02-09 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-11-30 | 2024-02-09 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-11-30 | 2024-02-09 | N |
| Provide activities to meet all resident's needs. | Health | 2023-11-30 | 2024-02-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-30 | 2024-02-09 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-11-30 | 2024-02-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-30 | 2024-02-09 | N |