Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 495156

Old Southwest Health And Rehabilitation

129 federal citations on record , and 3 federal enforcement actions totaling $143,823.

Record summary

Federal record · Q1 2026
129
Total citations
91
Last 3 years
4
Actual harm+
3
Federal penalties
$143,823
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care33 Care Planning23 Resident Rights19 Medication & Pharmacy17 Administration15

Most common F-tags at this facility

F6845 F6895 F8425 F6584 F6924

Citation history

129 on record
SurveyF-TagViolationSeveritySource
Jul 16, 2024F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.EComplaint
Jul 16, 2024F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DComplaint
Jul 16, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DComplaint
Jul 16, 2024F880Provide and implement an infection prevention and control program.EComplaint
Jul 16, 2024F865Have a plan that describes the process for conducting QAPI and QAA activities.FComplaint
Jul 16, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jul 16, 2024F775Keep complete, dated laboratory records in the resident's record.DComplaint
Jul 16, 2024F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DComplaint
Jul 16, 2024F770Provide timely, quality laboratory services/tests to meet the needs of residents.DComplaint
Jul 16, 2024F760Ensure that residents are free from significant medication errors.DComplaint
Jul 16, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
Jul 16, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint
Jul 16, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jul 16, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.FComplaint
Jul 16, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Jul 16, 2024F688Provide 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.DComplaint
Jul 16, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Jul 16, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Jul 16, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Jul 16, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Jul 16, 2024F625Notify 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.EComplaint
Jul 16, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EComplaint
Jul 16, 2024F584Honor 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.DComplaint
Jul 16, 2024F578Honor 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.EComplaint
Mar 29, 2024F775Keep complete, dated laboratory records in the resident's record.DComplaint
Mar 29, 2024F770Provide timely, quality laboratory services/tests to meet the needs of residents.DComplaint
Mar 29, 2024F578Honor 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.EComplaint
Mar 29, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Mar 29, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Mar 29, 2024F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DComplaint
Mar 29, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Mar 29, 2024F641Ensure each resident receives an accurate assessment.DComplaint
Mar 29, 2024F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.EStandard
Mar 29, 2024F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard
Mar 29, 2024F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.EStandard
Mar 29, 2024F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.EStandard
Mar 29, 2024F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.EStandard
Mar 29, 2024F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.EStandard
Mar 29, 2024F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.EStandard
Mar 29, 2024F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.EStandard
Mar 29, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Mar 29, 2024F880Provide and implement an infection prevention and control program.EStandard
Mar 29, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.GStandard
Mar 29, 2024F865Have a plan that describes the process for conducting QAPI and QAA activities.DStandard
Mar 29, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Mar 29, 2024F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DStandard
Mar 29, 2024F760Ensure that residents are free from significant medication errors.GStandard
Mar 29, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Mar 29, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Mar 29, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Mar 29, 2024F730Observe each nurse aide's job performance and give regular training.EStandard
Mar 29, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.FStandard
Mar 29, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Mar 29, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Mar 29, 2024F692Provide enough food/fluids to maintain a resident's health.DStandard
Mar 29, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Mar 29, 2024F688Provide 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.DStandard
Mar 29, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Mar 29, 2024F679Provide activities to meet all resident's needs.DStandard
Mar 29, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Mar 29, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Mar 29, 2024F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
Mar 29, 2024F625Notify 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.EStandard
Mar 29, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard
Mar 29, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard
Mar 29, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EStandard
Mar 29, 2024F584Honor 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.DStandard
Mar 29, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Mar 29, 2024F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.CStandard
Mar 29, 2024F575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.CStandard
Mar 29, 2024F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Mar 29, 2024F558Reasonably accommodate the needs and preferences of each resident.EStandard
Mar 29, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Nov 1, 2023F880Provide and implement an infection prevention and control program.DComplaint
Nov 1, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Nov 1, 2023F761Ensure 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.FComplaint
Nov 1, 2023F760Ensure that residents are free from significant medication errors.DComplaint
Nov 1, 2023F759Ensure medication error rates are not 5 percent or greater.DComplaint
Nov 1, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Nov 1, 2023F692Provide enough food/fluids to maintain a resident's health.DComplaint
Nov 1, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Nov 1, 2023F687Provide appropriate foot care.DComplaint
Nov 1, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Nov 1, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Nov 1, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Nov 1, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Nov 1, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint
Nov 1, 2023F584Honor 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.EComplaint
Aug 16, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Aug 16, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Aug 16, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jul 19, 2022F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Jul 19, 2022F761Ensure 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.DStandard
Jul 19, 2022F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Jul 19, 2022F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Jul 19, 2022F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jul 19, 2022F692Provide enough food/fluids to maintain a resident's health.DStandard
Jul 19, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jul 19, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jul 19, 2022F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $143,823 and 1 payment-denial actions spanning 61 days.

DateTypeFinePayment denial
Mar 29, 2024Fine$135,633—
Mar 29, 2024Payment Denial—Jun 29, 2024 · 61 days
Aug 16, 2023Fine$8,190—
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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