A list of the most recent deficiencies for Southgate Living 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? |
|---|---|---|---|---|
| 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 | 2024-02-09 | 2024-03-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-09 | 2024-03-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-09 | 2024-03-22 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-02-09 | 2024-03-22 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-02-09 | 2024-03-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-09 | 2024-03-22 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-02-09 | 2024-03-22 | 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 | 2024-02-09 | 2024-03-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-09 | 2024-03-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-09 | 2024-03-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-09 | 2024-03-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-18 | 2023-09-11 | Y |
| 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 | 2022-06-10 | 2022-07-25 | 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 | 2022-06-10 | 2022-07-25 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-06-10 | 2022-07-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-06-10 | 2022-07-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-06-10 | 2022-07-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-10 | 2022-07-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-10 | 2022-07-25 | 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 | 2022-06-10 | 2022-07-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-10 | 2022-07-25 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2022-06-10 | 2022-07-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-10 | 2022-07-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-10 | 2022-07-25 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2019-10-16 | 2019-12-01 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-10-16 | 2019-12-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-16 | 2019-12-01 | 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 | 2019-10-16 | 2019-12-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-16 | 2019-12-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-16 | 2019-12-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-10-16 | 2019-12-01 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-10-16 | 2019-12-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-16 | 2019-12-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-16 | 2019-12-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-10-16 | 2019-12-01 | N |
