Facility profile · CCN 225293
Southbridge Rehabilitation & Health Care Center
44 federal citations on record , and 1 federal enforcement actions totaling $14,675.
Record summary
Federal record · Q1 202644
Total citations
27
Last 3 years
1
Actual harm+
1
Federal penalties
$14,675
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
44 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 18, 2024 | F909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | Standard |
| Dec 18, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Dec 18, 2024 | F881 | Implement a program that monitors antibiotic use. | D | Standard |
| Dec 18, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard |
| Dec 18, 2024 | 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. | D | Standard |
| Dec 18, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Dec 18, 2024 | F732 | Post nurse staffing information every day. | B | Standard |
| Dec 18, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Dec 18, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Dec 18, 2024 | F641 | Ensure each resident receives an accurate assessment. | B | Standard |
| Dec 18, 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 |
| Dec 18, 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. | E | Standard |
| Dec 18, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Dec 3, 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 |
| Oct 25, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Oct 25, 2023 | 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 |
| Oct 25, 2023 | 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 |
| Oct 25, 2023 | 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 |
| Oct 25, 2023 | F712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | Standard |
| Oct 25, 2023 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Oct 25, 2023 | F694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard |
| Oct 25, 2023 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Oct 25, 2023 | 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. | D | Standard |
| Oct 25, 2023 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| Oct 25, 2023 | F622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Standard |
| Oct 25, 2023 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
| May 10, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Sep 23, 2022 | F888 | Ensure staff are vaccinated for COVID-19 | D | Standard |
| Sep 23, 2022 | F886 | Perform COVID19 testing on residents and staff. | D | Standard |
| Sep 23, 2022 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Sep 23, 2022 | F772 | Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | D | Standard |
| Sep 23, 2022 | F760 | Ensure that residents are free from significant medication errors. | E | Standard |
| Sep 23, 2022 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Sep 23, 2022 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard |
| Sep 23, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Sep 23, 2022 | F687 | Provide appropriate foot care. | D | Standard |
| Sep 23, 2022 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Sep 23, 2022 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard |
| Sep 23, 2022 | 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 |
| Sep 23, 2022 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard |
| Sep 23, 2022 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Standard |
| Sep 23, 2022 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Standard |
| Sep 23, 2022 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard |
| Sep 23, 2022 | 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 $14,675 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| May 10, 2023 | Fine | $14,675 | — |
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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