CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Complete Care at Southpointe
View the most recent health deficiencies and inspection results for Complete Care at Southpointe. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Complete Care at Southpointe. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2026-03-12 | 2026-04-22 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-10-17 | 2025-01-31 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-10-17 | 2025-01-31 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-10-17 | 2024-11-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-17 | 2024-11-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-17 | 2024-11-12 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2024-10-17 | 2024-11-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-17 | 2024-11-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-17 | 2024-10-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-10-17 | 2024-10-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-10-17 | 2024-10-17 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-10-17 | 2024-10-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-10-17 | 2024-10-17 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2023-08-17 | 2024-02-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-17 | 2023-09-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-17 | 2023-09-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-17 | 2023-09-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-17 | 2023-09-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-17 | 2023-09-13 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-08-17 | 2023-09-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-17 | 2023-09-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-17 | 2023-09-13 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-17 | 2023-09-11 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-08-17 | 2023-09-11 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-08-17 | 2023-09-11 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-08-17 | 2023-09-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-08-17 | 2023-09-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-07 | 2022-07-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-07 | 2022-07-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-07 | 2022-07-30 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-04-07 | 2022-06-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-07 | 2022-06-30 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-04-07 | 2022-06-30 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-04-07 | 2022-06-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-07 | 2022-06-30 | 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 | 2022-04-07 | 2022-06-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-07 | 2022-06-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-04-07 | 2022-06-30 | 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 | 2022-04-07 | 2022-06-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-04-07 | 2022-06-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-07 | 2022-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-07 | 2022-06-30 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-04-07 | 2022-06-30 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-04-07 | 2022-06-30 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-04-07 | 2022-06-30 | 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 | 2022-04-07 | 2022-06-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-04-07 | 2022-06-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-07 | 2022-06-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-07 | 2022-06-30 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-04-07 | 2022-06-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-07 | 2022-06-30 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-04-07 | 2022-06-30 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-04-07 | 2022-06-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-07 | 2022-06-30 | N |
| Respond appropriately to all alleged violations. | Health | 2022-04-07 | 2022-06-30 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-04-07 | 2022-06-30 | 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 | 2022-04-07 | 2022-06-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-07 | 2022-05-01 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-04-07 | 2022-05-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-07 | 2022-05-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-07 | 2022-05-01 | N |