Deficiency Records for Southside Care Center
Updated as of April 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 |
