A list of the most recent deficiencies for Southampton Memorial Hosp. 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-09-22 | 2023-10-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-22 | 2023-10-31 | N |
| Keep complete, dated laboratory records in the resident's record. | Health | 2023-09-22 | 2023-10-31 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2023-09-28 | 2023-10-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-02-12 | 2020-03-27 | 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 | 2020-02-12 | 2020-03-27 | 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 | 2020-02-12 | 2020-03-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-12 | 2020-03-27 | 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 | 2020-02-12 | 2020-03-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-12 | 2020-03-27 | 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 | 2020-02-12 | 2020-03-27 | N |
| Keep complete, dated laboratory records in the resident's record. | Health | 2020-02-12 | 2020-03-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-27 | 2019-01-04 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-11-27 | 2019-01-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-27 | 2019-01-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-10-18 | 2018-11-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-10-18 | 2018-11-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-18 | 2018-11-30 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-10-18 | 2018-11-30 | 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 | 2018-10-18 | 2018-11-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-10-18 | 2018-11-30 | 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 | 2018-10-18 | 2018-11-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-10-18 | 2018-11-30 | N |
