Deficiency Records for Southlake Village Rehabilitation and Care Center
Updated as of January 01, 2021
This is not the most recent data for Southlake Village Rehabilitation and Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Southlake Village Rehabilitation and 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 and implement an infection prevention and control program. | Health | 2020-11-18 | 2020-12-21 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2020-09-18 | 2020-10-22 | 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 | 2020-09-18 | 2020-10-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-18 | 2020-10-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-09-18 | 2020-10-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-06-11 | 2020-07-27 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-03-26 | 2019-05-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-26 | 2019-05-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-26 | 2019-05-07 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-03-26 | 2019-05-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-26 | 2019-05-07 | 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 | 2019-03-27 | 2019-04-30 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-03-27 | 2019-04-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-27 | 2019-04-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-27 | 2019-04-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-14 | 2018-01-01 | N |
