Deficiency Records for Safire Rehabilitation of Southtown, L L C
Updated as of April 01, 2024
A list of the most recent deficiencies for Safire Rehabilitation of Southtown, L L C. 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-30 | 2023-03-21 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-01-30 | 2023-03-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-01-30 | 2023-03-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-01-30 | 2023-03-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-30 | 2023-03-15 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-01-30 | 2023-03-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-30 | 2023-03-15 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-01-30 | 2023-03-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-30 | 2023-03-12 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-25 | 2021-07-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-25 | 2021-07-12 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-05-25 | 2021-07-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-25 | 2021-07-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-25 | 2021-07-12 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-05-25 | 2021-07-12 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-05-25 | 2021-07-12 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-05-25 | 2021-07-12 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-25 | 2021-07-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-25 | 2021-07-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-25 | 2021-07-12 | N |
| Respond appropriately to all alleged violations. | Health | 2019-08-22 | 2019-10-21 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-08-22 | 2019-10-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-22 | 2019-10-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-22 | 2019-10-21 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-08-22 | 2019-10-21 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-08-22 | 2019-10-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-22 | 2019-10-21 | N |
| Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction. | Fire Safety | 2019-08-22 | 2019-10-18 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-08-22 | 2019-10-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-22 | 2019-10-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-22 | 2019-10-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-08-22 | 2019-10-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-22 | 2019-10-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-22 | 2019-10-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-08-22 | 2019-10-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-08-22 | 2019-10-18 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-08-22 | 2019-10-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-22 | 2019-10-18 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-08-22 | 2019-10-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-22 | 2019-10-18 | N |
| Meet other general requirements. | Fire Safety | 2019-08-22 | 2019-10-11 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-08-22 | 2019-10-11 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-08-22 | 2019-10-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-08-22 | 2019-10-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-22 | 2019-09-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-08-22 | 2019-09-11 | N |
