Deficiency Records for Southampton Memorial Hosp
Updated as of February 01, 2023
This is not the most recent data for Southampton Memorial Hosp. For the most recent information, click here.
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? |
---|---|---|---|---|
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 |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-04-27 | 2017-05-22 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-27 | 2017-05-22 | N |