Deficiency Records for Southampton Rehabilitation and Healthcare Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Southampton Rehabilitation and Healthcare 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-17 | 2023-08-11 | Y |
| 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 | 2023-07-17 | 2023-08-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-17 | 2023-08-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-17 | 2023-08-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-17 | 2023-08-11 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-07-17 | 2023-08-11 | Y |
| 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 | 2022-08-10 | 2022-09-24 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-08-10 | 2022-09-24 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-08-10 | 2022-09-24 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-10 | 2022-09-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-10 | 2022-09-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-10 | 2022-09-24 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-10 | 2022-09-24 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-02-23 | 2022-03-29 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-02-23 | 2022-03-29 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-02-23 | 2022-03-29 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-23 | 2022-03-29 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-09-03 | 2021-10-12 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-09-03 | 2021-10-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-03 | 2021-10-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-09-03 | 2021-10-12 | 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 | 2021-09-03 | 2021-10-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-03 | 2021-10-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-03 | 2021-10-12 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2021-09-03 | 2021-10-12 | 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 | 2021-09-03 | 2021-10-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-09-03 | 2021-10-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-03 | 2021-10-12 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-09-03 | 2021-10-12 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-09-03 | 2021-10-12 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2021-09-03 | 2021-10-12 | Y |
| Provide appropriate foot care. | Health | 2021-09-03 | 2021-10-12 | 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 | 2021-09-07 | 2021-10-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-09-07 | 2021-10-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-07 | 2021-10-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-10-22 | 2019-02-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-22 | 2019-02-22 | N |
| Meet other general requirements. | Fire Safety | 2018-10-22 | 2018-12-14 | N |
| Use approved construction type or materials. | Fire Safety | 2018-10-22 | 2018-12-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-10-22 | 2018-12-14 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-10-22 | 2018-12-14 | 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 | 2018-10-22 | 2018-12-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-22 | 2018-12-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-22 | 2018-12-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-10-22 | 2018-12-14 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-10-22 | 2018-12-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-10-22 | 2018-12-14 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2018-10-22 | 2018-12-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-22 | 2018-12-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-10-04 | 2018-11-06 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-10-04 | 2018-11-06 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2018-10-04 | 2018-11-06 | 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 | 2018-10-04 | 2018-11-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-04 | 2018-11-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-10-04 | 2018-11-06 | 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 | 2018-10-04 | 2018-11-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-04 | 2018-11-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-04 | 2018-11-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-04 | 2018-11-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-10-04 | 2018-11-06 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-10-04 | 2018-11-06 | 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 | 2018-10-04 | 2018-11-06 | 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 | 2018-10-04 | 2018-11-06 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2018-10-04 | 2018-11-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-04 | 2018-11-06 | N |
