Deficiency Records for South Place Rehabilitation and Skilled Nursing
Updated as of March 01, 2024
A list of the most recent deficiencies for South Place Rehabilitation and Skilled Nursing. 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? |
|---|---|---|---|---|
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-10-25 | 2023-11-17 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-10-25 | 2023-11-17 | 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 | 2023-11-14 | 2023-11-17 | N |
| Post nurse staffing information every day. | Health | 2023-10-25 | 2023-10-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-25 | 2023-10-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-25 | 2023-10-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-25 | 2023-10-27 | 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 | 2023-10-25 | 2023-10-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-25 | 2023-10-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-10-25 | 2023-10-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-28 | 2023-09-22 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-09-22 | 2022-10-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-22 | 2022-10-21 | 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 | 2021-06-29 | 2021-07-16 | Y |
| 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 | 2021-06-29 | 2021-07-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-29 | 2021-07-16 | N |
