Deficiency Records for Southside Care Center
Updated as of February 01, 2023
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? |
---|---|---|---|---|
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-19 | 2023-01-06 | N |
Provide activities to meet all resident's needs. | Health | 2022-10-19 | 2023-01-06 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-19 | 2023-01-06 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-10-19 | 2023-01-06 | 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 | 2022-10-19 | 2023-01-06 | N |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-10-19 | 2023-01-06 | 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 and emergencies. | Health | 2022-10-19 | 2023-01-06 | N |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-10-19 | 2023-01-06 | N |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-10-19 | 2023-01-06 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-10-19 | 2023-01-06 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-10-19 | 2023-01-06 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-19 | 2023-01-06 | Y |
Respond appropriately to all alleged violations. | Health | 2022-10-19 | 2023-01-06 | Y |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-10-19 | 2022-12-03 | N |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-10-19 | 2022-12-03 | N |
Address patient/client population and determine types of services needed. | Fire Safety | 2022-10-19 | 2022-12-03 | N |
Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-10-19 | 2022-12-03 | N |
Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-10-19 | 2022-12-03 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2022-10-19 | 2022-12-03 | N |
Establish policies and procedures including evacuation. | Fire Safety | 2022-10-19 | 2022-12-03 | N |
Establish policies and procedures for medical documentation. | Fire Safety | 2022-10-19 | 2022-12-03 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2022-10-19 | 2022-12-03 | N |
Develop a communication plan. | Fire Safety | 2022-10-19 | 2022-12-03 | N |
List the names and contact information of those in the facility. | Fire Safety | 2022-10-19 | 2022-12-03 | N |
Provide emergency officials' contact information. | Fire Safety | 2022-10-19 | 2022-12-03 | N |
Provide primary/alternate means for communication. | Fire Safety | 2022-10-19 | 2022-12-03 | N |
Establish methods for sharing information. | Fire Safety | 2022-10-19 | 2022-12-03 | N |
Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-10-19 | 2022-12-03 | N |
Provide family notifications of emergency plan. | Fire Safety | 2022-10-19 | 2022-12-03 | N |
Establish emergency prep training and testing. | Fire Safety | 2022-10-19 | 2022-12-03 | N |
Establish staff and initial training requirements. | Fire Safety | 2022-10-19 | 2022-12-03 | N |
Conduct testing and exercise requirements. | Fire Safety | 2022-10-19 | 2022-12-03 | N |
Provide and implement an infection prevention and control program. | Health | 2020-05-13 | 2020-06-22 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-12-04 | 2020-01-18 | 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 | 2019-12-04 | 2020-01-18 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-04 | 2020-01-18 | N |
Request a waiver if it can't meet the nurse staffing requirements. | Health | 2019-12-04 | 2020-01-18 | 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 and emergencies. | Health | 2019-12-04 | 2020-01-18 | N |
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2019-12-04 | 2020-01-18 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-12-04 | 2020-01-18 | N |
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 necessary and PRN use is limited. | 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 |