Facility profile · CCN 525604
Complete Care At Southpointe
40 federal citations on record , including 4 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $89,823.
Record summary
Federal record · Q1 202640
Total citations
10
Last 3 years
7
Actual harm+
1
Federal penalties
$89,823
Total fines
4
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
40 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Oct 17, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Oct 17, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Aug 17, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | G | Complaint |
| Aug 17, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Aug 17, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Complaint |
| Aug 17, 2023 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Aug 17, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Aug 17, 2023 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Aug 17, 2023 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Aug 17, 2023 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | Standard |
| Apr 7, 2022 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard |
| Apr 7, 2022 | F943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Standard |
| Apr 7, 2022 | F886 | Perform COVID19 testing on residents and staff. | C | Standard |
| Apr 7, 2022 | F881 | Implement a program that monitors antibiotic use. | D | Standard |
| Apr 7, 2022 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Apr 7, 2022 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard |
| Apr 7, 2022 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Apr 7, 2022 | F761 | 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. | E | Standard |
| Apr 7, 2022 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Apr 7, 2022 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Apr 7, 2022 | F758 | 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. | D | Standard |
| Apr 7, 2022 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Apr 7, 2022 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard |
| Apr 7, 2022 | F730 | Observe each nurse aide's job performance and give regular training. | D | Standard |
| Apr 7, 2022 | F700 | 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. | D | Standard |
| Apr 7, 2022 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Apr 7, 2022 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| Apr 7, 2022 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Apr 7, 2022 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Apr 7, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard |
| Apr 7, 2022 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Standard |
| Apr 7, 2022 | F678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | K | Standard |
| Apr 7, 2022 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Apr 7, 2022 | F625 | 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. | E | Standard |
| Apr 7, 2022 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard |
| Apr 7, 2022 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Apr 7, 2022 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Apr 7, 2022 | F583 | Keep residents' personal and medical records private and confidential. | F | Standard |
| Apr 7, 2022 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Standard |
| Apr 7, 2022 | F578 | 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. | D | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $89,823 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Aug 17, 2023 | Fine | $89,823 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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