CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Southwestern Nursing and Rehabilitation Center
View the most recent health deficiencies and inspection results for Southwestern Nursing and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Southwestern Nursing and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2025-01-24 | 2025-03-04 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-01-24 | 2025-03-04 | N |
| Provide training in compliance and ethics. | Health | 2025-01-24 | 2025-03-04 | N |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2025-01-24 | 2025-03-04 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2025-01-24 | 2025-03-04 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2025-01-24 | 2025-03-04 | N |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2025-01-24 | 2025-03-04 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2025-01-24 | 2025-03-04 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2025-01-24 | 2025-03-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-24 | 2025-03-04 | 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 | 2025-01-24 | 2025-03-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-24 | 2025-03-04 | 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 | 2025-01-24 | 2025-03-04 | N |
| Assess the resident when there is a significant change in condition | Health | 2025-01-24 | 2025-03-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-01-24 | 2025-03-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-01-24 | 2025-02-20 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-06-13 | 2024-08-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-06-13 | 2024-08-06 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-13 | 2024-08-06 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-06-13 | 2024-08-06 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-06-13 | 2024-08-06 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-06-13 | 2024-08-06 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-06-13 | 2024-08-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-13 | 2024-08-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-13 | 2024-08-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-13 | 2024-08-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-13 | 2024-08-06 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-03-13 | 2024-04-02 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-15 | 2024-03-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-12-15 | 2024-03-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-15 | 2024-02-06 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-12-15 | 2024-02-06 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2023-12-15 | 2024-02-06 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-12-15 | 2024-02-06 | 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 | 2023-12-15 | 2024-02-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-15 | 2024-02-06 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-12-15 | 2024-02-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-15 | 2024-02-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-15 | 2024-02-06 | Y |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2023-12-15 | 2024-02-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-15 | 2024-02-06 | 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 | 2023-12-15 | 2024-02-06 | 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 | 2023-12-15 | 2024-02-06 | 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 | 2023-12-15 | 2024-02-06 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-12-15 | 2024-02-06 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-12-15 | 2024-01-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-15 | 2024-01-30 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-12-15 | 2024-01-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-15 | 2024-01-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-15 | 2024-01-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-15 | 2024-01-30 | 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 | 2023-12-15 | 2024-01-30 | N |
| Meet other general requirements. | Fire Safety | 2023-12-15 | 2024-01-30 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-06-06 | 2023-06-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-06 | 2023-06-27 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-02-12 | 2023-04-20 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2023-02-12 | 2023-03-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-02-12 | 2023-03-20 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-02-12 | 2023-03-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-12 | 2023-03-20 | 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 | 2023-02-12 | 2023-03-20 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-02-12 | 2023-03-20 | 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 | 2023-02-12 | 2023-03-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-12 | 2023-03-20 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-02-12 | 2023-03-20 | N |
| Provide activities to meet all resident's needs. | Health | 2023-02-12 | 2023-03-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-12 | 2023-03-20 | 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 | 2023-02-12 | 2023-03-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-02-12 | 2023-03-20 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-02-12 | 2023-03-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-12 | 2023-03-16 | N |