Deficiency Records for Southside Care Center
Updated as of January 01, 2019
This is not the most recent data for Southside Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Southside Care 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? |
---|---|---|---|---|
Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2018-10-24 | 2018-12-03 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-10-24 | 2018-12-03 | 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 | 2018-10-24 | 2018-12-03 | 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 | 2018-10-24 | 2018-12-03 | N |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-10-24 | 2018-12-03 | N |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-10-24 | 2018-12-03 | 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 | 2018-10-24 | 2018-12-03 | N |
Request a waiver if it can't meet the nurse staffing requirements. | Health | 2018-10-24 | 2018-12-03 | N |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-10-24 | 2018-12-03 | 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 ne | Health | 2018-10-24 | 2018-12-03 | N |
Provide or obtain dental services for each resident. | Health | 2018-10-24 | 2018-12-03 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-10-24 | 2018-12-03 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-01-29 | 2018-07-03 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-21 | 2018-07-03 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-29 | 2018-07-03 | N |
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2018-01-29 | 2018-07-03 | N |
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-01-29 | 2018-07-03 | N |
Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2018-01-29 | 2018-07-03 | N |
Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist. | Health | 2018-01-29 | 2018-07-03 | N |
Ensure the physician properly assigns and delegates tasks to a qualified dietitian (or other qualified nutrition professional); or to a qualified therapist. | Health | 2018-01-29 | 2018-07-03 | 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 | 2018-01-29 | 2018-07-03 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-01-29 | 2018-07-03 | N |
Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-01-29 | 2018-05-03 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-01-29 | 2018-05-03 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-01-29 | 2018-05-03 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2018-01-29 | 2018-05-03 | 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 | 2018-01-29 | 2018-05-03 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2018-01-29 | 2018-05-03 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-01-29 | 2018-02-23 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-01-29 | 2018-02-23 | N |
Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-01-29 | 2018-02-23 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-01-29 | 2018-02-23 | N |
Post nurse staffing information every day. | Health | 2018-01-29 | 2018-02-23 | N |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-01-29 | 2018-02-23 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-01-29 | 2018-02-23 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-01-29 | 2018-02-23 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-01-29 | 2018-02-23 | N |
Provide and implement an infection prevention and control program. | Health | 2018-01-29 | 2018-02-23 | N |
Implement a program that monitors antibiotic use. | Health | 2018-01-29 | 2018-02-23 | N |
Use approved construction type or materials. | Fire Safety | 2017-05-23 | 2017-07-23 | N |
Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2017-05-23 | 2017-07-23 | N |
Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2017-05-23 | 2017-07-23 | N |
Have protected exits that allow the resident to escape the building. | Fire Safety | 2017-05-23 | 2017-07-23 | N |
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-05-26 | 2017-07-20 | N |
Operate and provide services according to Federal, State, and local laws and professional standards. | Health | 2017-05-26 | 2017-07-20 | N |
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2017-05-26 | 2017-07-14 | N |
Keep residents' personal and medical records private and confidential. | Health | 2017-05-26 | 2017-07-14 | N |
Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-05-26 | 2017-07-14 | N |
Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-05-26 | 2017-07-14 | N |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-05-26 | 2017-07-14 | N |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-05-26 | 2017-07-14 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-05-26 | 2017-07-14 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-05-26 | 2017-07-14 | N |
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-05-26 | 2017-07-14 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-05-26 | 2017-07-14 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2017-05-23 | 2017-06-16 | N |