Facility profile · CCN 385167
South Hills Rehabilitation Center
64 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $121,905.
Record summary
Federal record · Q1 202664
Total citations
54
Last 3 years
2
Actual harm+
1
Federal penalties
$121,905
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
64 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 9, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Dec 9, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Aug 11, 2025 | F880 | Provide and implement an infection prevention and control program. | L | Standard |
| Aug 11, 2025 | F814 | Dispose of garbage and refuse properly. | D | Standard |
| Aug 11, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Aug 11, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Aug 11, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Aug 11, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard |
| Aug 11, 2025 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Aug 11, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Aug 11, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard |
| Aug 11, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Aug 11, 2025 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Oct 16, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Oct 16, 2024 | F732 | Post nurse staffing information every day. | E | Complaint |
| Oct 16, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint |
| Oct 16, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Oct 16, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Oct 16, 2024 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Oct 16, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Oct 16, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Mar 22, 2024 | F881 | Implement a program that monitors antibiotic use. | D | Complaint |
| Mar 22, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Mar 22, 2024 | F851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | E | Complaint |
| Mar 22, 2024 | F849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Complaint |
| Mar 22, 2024 | F730 | Observe each nurse aide's job performance and give regular training. | E | Complaint |
| Mar 22, 2024 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Complaint |
| Mar 22, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint |
| Mar 22, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint |
| Mar 22, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Mar 22, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Mar 22, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Mar 22, 2024 | F584 | 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. | D | Complaint |
| Mar 22, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Mar 22, 2024 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Complaint |
| Mar 22, 2024 | F814 | Dispose of garbage and refuse properly. | E | Standard |
| Mar 22, 2024 | F809 | Ensure meals and snacks are served at times in accordance with resident’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 scheduled meal times. | D | Standard |
| Mar 22, 2024 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Mar 22, 2024 | F776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | Standard |
| Mar 22, 2024 | 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. | E | Standard |
| Mar 22, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Mar 22, 2024 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Mar 22, 2024 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Mar 22, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Mar 22, 2024 | 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 |
| Mar 22, 2024 | F688 | 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. | D | Standard |
| Mar 22, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Mar 22, 2024 | F637 | Assess the resident when there is a significant change in condition | D | Standard |
| Mar 22, 2024 | F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard |
| Mar 22, 2024 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard |
| Mar 22, 2024 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | Standard |
| Mar 22, 2024 | F576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Standard |
| Mar 22, 2024 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard |
| Mar 22, 2024 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Mar 28, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Mar 28, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Apr 5, 2019 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Apr 5, 2019 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Apr 5, 2019 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Apr 5, 2019 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Apr 5, 2019 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Apr 5, 2019 | 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 |
| Apr 5, 2019 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Apr 5, 2019 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $121,905 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Aug 11, 2025 | Fine | $121,905 | — |
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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