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Deficiency Records for Southern Hills Rehabilitation Center
View the most recent health deficiencies and inspection results for Southern Hills Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Southern Hills Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2025-07-10 | 2025-08-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-07-10 | 2025-08-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-15 | 2025-06-13 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-26 | 2025-01-10 | 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 | 2024-11-26 | 2025-01-10 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-11-26 | 2025-01-03 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-11-26 | 2025-01-03 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-11-01 | 2024-05-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-01 | 2024-05-31 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-11-01 | 2024-05-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-01 | 2024-05-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-11-01 | 2024-05-31 | 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 | 2023-11-01 | 2024-05-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-11-01 | 2024-05-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-01 | 2024-05-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-01 | 2024-05-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-11-01 | 2023-12-20 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-11-01 | 2023-12-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-01 | 2023-12-20 | 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 (including nights and weekends) and emergencies. | Health | 2023-11-01 | 2023-12-20 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-11-01 | 2023-12-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-01 | 2023-12-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-01 | 2023-12-20 | 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 | 2023-11-01 | 2023-12-20 | 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 | 2021-12-16 | 2022-03-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-16 | 2022-02-28 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-12-16 | 2022-02-28 | 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 | 2021-12-16 | 2022-02-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-12-16 | 2022-02-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-12-16 | 2022-02-28 | 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 | 2021-12-16 | 2022-02-28 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-12-16 | 2022-02-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-16 | 2022-02-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-12-16 | 2022-02-28 | 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 | 2021-12-16 | 2022-02-28 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-12-16 | 2022-02-28 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2021-12-16 | 2022-02-28 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-12-16 | 2022-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-16 | 2022-01-18 | N |