A list of the most recent deficiencies for Senath South Health 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-27 | 2023-11-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-27 | 2023-11-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-22 | 2023-09-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-08 | 2023-09-08 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-06-01 | 2023-07-06 | 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 | 2023-06-01 | 2023-07-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-01 | 2023-07-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-01 | 2023-07-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-01 | 2023-07-06 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-06-01 | 2023-07-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-30 | 2023-06-27 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-27 | 2023-06-11 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-04-27 | 2023-06-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-27 | 2023-06-11 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-04-27 | 2023-06-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-27 | 2023-04-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-17 | 2023-01-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-22 | 2022-12-15 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-11-09 | 2022-12-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-09 | 2022-12-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-09 | 2022-12-15 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2022-11-09 | 2022-12-15 | 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 | 2022-07-14 | 2022-10-20 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-07-14 | 2022-10-20 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-07-14 | 2022-10-20 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-09-08 | 2022-10-20 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-07-14 | 2022-08-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-14 | 2022-08-31 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-07-14 | 2022-08-31 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-07-14 | 2022-08-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-08 | 2022-08-31 | 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 | 2022-07-14 | 2022-08-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-07-14 | 2022-08-23 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-07-14 | 2022-08-23 | 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 | 2022-07-14 | 2022-08-23 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-07-14 | 2022-08-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-07-14 | 2022-08-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-14 | 2022-08-23 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-07-14 | 2022-08-23 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-07-14 | 2022-08-23 | N |
| Provide or obtain dental services for each resident. | Health | 2022-07-14 | 2022-08-23 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2022-07-14 | 2022-08-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-14 | 2022-08-23 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2022-07-14 | 2022-08-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-14 | 2022-08-23 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-07-14 | 2022-08-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-14 | 2022-08-23 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2022-07-14 | 2022-08-23 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-07-14 | 2022-08-23 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2022-07-14 | 2022-08-23 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-07-14 | 2022-08-23 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-07-14 | 2022-08-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-07-14 | 2022-08-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-14 | 2022-08-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-14 | 2022-08-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-07-14 | 2022-08-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-16 | 2022-02-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-16 | 2021-11-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-16 | 2021-11-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-05 | 2021-11-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-05 | 2021-11-01 | Y |
| 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 | 2021-08-05 | 2021-09-08 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2021-08-05 | 2021-09-08 | Y |
| 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 | 2021-08-05 | 2021-09-03 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-08-05 | 2021-09-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-09 | 2021-08-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-09 | 2021-08-20 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-07-09 | 2021-08-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-19 | 2021-08-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-19 | 2021-08-20 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-05-19 | 2021-08-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-30 | 2019-12-13 | 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 | 2019-10-30 | 2019-12-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-10-30 | 2019-12-13 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-10-30 | 2019-12-13 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-10-30 | 2019-12-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-30 | 2019-12-13 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-10-30 | 2019-12-13 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-10-30 | 2019-12-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-30 | 2019-12-13 | 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 | 2019-10-30 | 2019-12-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-30 | 2019-12-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-30 | 2019-12-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-30 | 2019-12-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-30 | 2019-12-13 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-12-12 | 2019-01-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-12-12 | 2019-01-18 | 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 | 2018-12-12 | 2019-01-18 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-12-12 | 2019-01-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-12 | 2019-01-18 | 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 | 2018-12-12 | 2019-01-18 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-12-12 | 2019-01-18 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-12-12 | 2019-01-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-12 | 2019-01-18 | N |
