Inspection Results » Southpointe Healthcare Center

Health Inspection on February 4, 2019 ^[1]

1. Pattern: Immediate jeopardy to the resident health or safety

   • Provide and implement an infection prevention and control program. (Corrected 2019-03-25)

2. Isolated: Actual harm that is not immediate jeopardy

   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-03-25)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-03-25)

3. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-03-25)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-03-25)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-03-25)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-03-25)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2019-03-25)
   • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2019-03-25)

4. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Ensure meals and snacks are served at times in accordance with residentÂ’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of schedu (Corrected 2019-03-25)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-03-25)
   • Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. (Corrected 2019-03-25)
   • 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 ne (Corrected 2019-03-25)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2019-03-25)
   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2019-03-25)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2019-03-25)
   • Provide medically-related social services to help each resident achieve the highest possible quality of life. (Corrected 2019-03-25)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2019-03-25)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2019-03-25)
   • 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. (Corrected 2019-03-25)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2019-03-25)
   • 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. (Corrected 2019-03-25)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2019-03-25)
   • Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. (Corrected 2019-03-25)