Deficiency Records for South Hills Rehabilitation and Wellness Center
Updated as of March 01, 2024
A list of the most recent deficiencies for South Hills Rehabilitation and Wellness 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-05 | 2024-02-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-12-05 | 2024-02-01 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-12-05 | 2024-02-01 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-12-05 | 2024-02-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-12-05 | 2024-02-01 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-12-05 | 2024-02-01 | 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 | 2023-12-05 | 2024-02-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-05 | 2024-02-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-05 | 2024-02-01 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-12-05 | 2024-02-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-05 | 2024-02-01 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-12-28 | 2024-01-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-08 | 2024-01-23 | 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 | 2023-12-08 | 2024-01-23 | 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 | 2023-12-08 | 2024-01-23 | N |
| 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 | 2023-12-08 | 2024-01-23 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-12-08 | 2024-01-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-08 | 2024-01-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-12-08 | 2024-01-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-12-08 | 2024-01-23 | 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 | 2023-12-08 | 2024-01-23 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-12-08 | 2024-01-23 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2023-05-10 | 2023-06-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-10 | 2023-06-10 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-16 | 2023-03-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-16 | 2023-03-15 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-02-15 | 2023-03-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-15 | 2023-03-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-15 | 2023-03-10 | 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 | 2023-02-15 | 2023-03-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-15 | 2023-03-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-15 | 2023-03-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-02 | 2022-08-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-02 | 2022-08-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-06 | 2022-06-23 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-06-06 | 2022-06-23 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-06-06 | 2022-06-23 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-04-29 | 2022-05-23 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-04-29 | 2022-05-23 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-04-29 | 2022-05-23 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-29 | 2022-05-23 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-02-04 | 2022-03-10 | 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 | 2022-02-04 | 2022-03-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-04 | 2022-03-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-04 | 2022-03-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-04 | 2022-03-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-04 | 2022-03-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-02-04 | 2022-03-10 | 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 | 2022-02-04 | 2022-03-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-04 | 2022-03-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-07 | 2022-02-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-07 | 2022-02-18 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-02-04 | 2022-02-04 | N |
