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Deficiency Records for South Pointe Rehabilitation and Care Center

View the most recent health deficiencies and inspection results for South Pointe Rehabilitation and Care Center. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for South Pointe Rehabilitation and Care Center. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Establish emergency prep training and testing. Fire Safety 2025-04-28 2025-05-30 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 2025-04-28 2025-05-30 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2025-04-28 2025-05-30 N
Have proper medical gas storage and administration areas. Fire Safety 2025-04-28 2025-05-30 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2025-04-28 2025-05-30 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 2025-04-28 2025-05-29 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2025-04-28 2025-05-29 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2025-04-28 2025-05-29 N
Ensure each resident receives an accurate assessment. Health 2025-04-28 2025-05-29 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-04-28 2025-05-29 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 2025-04-28 2025-05-29 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2025-04-28 2025-05-29 N
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2025-04-28 2025-05-29 N
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 2025-04-28 2025-05-29 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-04-28 2025-05-29 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2025-04-28 2025-05-29 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2025-04-28 2025-05-29 Y
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Health 2025-04-28 2025-05-29 N
Honor the resident's right to manage his or her financial affairs. Health 2025-04-28 2025-05-29 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 2025-03-03 2025-04-17 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2025-03-03 2025-03-07 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2025-03-03 2025-03-07 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-03-03 2025-03-07 Y
Put firmly secured handrails on each side of hallways. Health 2025-03-03 2025-03-07 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 2025-03-03 2025-03-07 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-10-17 2024-11-12 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-10-25 2024-11-12 Y
Respond appropriately to all alleged violations. Health 2024-10-17 2024-11-12 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-10-17 2024-11-12 Y
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2024-08-14 2024-08-26 Y
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2024-08-14 2024-08-26 Y
Respond appropriately to all alleged violations. Health 2024-07-17 2024-08-08 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-07-17 2024-08-08 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-04-19 2024-05-08 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-04-19 2024-05-08 Y
Post nurse staffing information every day. Health 2024-01-17 2024-04-10 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-01-17 2024-04-10 Y
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 2024-01-17 2024-04-10 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 2024-01-17 2024-04-10 N
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 2024-01-17 2024-02-14 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-01-17 2024-02-14 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2024-01-17 2024-02-14 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2024-01-17 2024-02-14 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2024-01-17 2024-02-14 N
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Health 2024-01-17 2024-02-14 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-01-17 2024-02-14 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-17 2024-02-14 Y
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-01-17 2024-02-14 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-01-17 2024-02-14 N
Provide and implement an infection prevention and control program. Health 2024-01-17 2024-02-14 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-01-17 2024-02-14 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-01-17 2024-02-14 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 2024-01-17 2024-02-14 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-01-17 2024-02-14 N
Ensure each resident receives an accurate assessment. Health 2024-01-17 2024-02-14 N
Assess the resident when there is a significant change in condition Health 2024-01-17 2024-02-14 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-01-17 2024-02-14 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 2024-01-17 2024-02-14 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 2024-01-17 2024-02-14 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-01-17 2024-02-14 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-01-17 2024-02-14 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-01-17 2024-02-14 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 2024-01-17 2024-02-14 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2024-01-17 2024-02-14 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-02-17 2023-05-10 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 2023-02-17 2023-04-27 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 2023-02-17 2023-04-27 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2023-02-17 2023-04-27 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-02-17 2023-04-27 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-02-17 2023-04-27 N

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