Facility profile · CCN 205136
Southridge Rehab & Living Ctr
30 federal citations on record , including 2 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $23,179.
Record summary
Federal record · Q1 202630
Total citations
13
Last 3 years
3
Actual harm+
2
Federal penalties
$23,179
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
30 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jul 7, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Jun 2, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Mar 5, 2025 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint |
| Mar 5, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Mar 5, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint |
| Mar 5, 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 | Complaint |
| Jun 26, 2024 | F887 | Educate 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. | E | Standard |
| Jun 26, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard |
| Jun 26, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Jun 26, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Jun 26, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard |
| Jun 26, 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 |
| May 31, 2023 | 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. | B | Complaint |
| Mar 10, 2023 | F885 | Report COVID19 data to residents and families. | F | Standard |
| Mar 10, 2023 | F881 | Implement a program that monitors antibiotic use. | F | Standard |
| Mar 10, 2023 | F880 | Provide and implement an infection prevention and control program. | L | Standard |
| Mar 10, 2023 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Standard |
| Mar 10, 2023 | F838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | E | Standard |
| Mar 10, 2023 | F814 | Dispose of garbage and refuse properly. | E | Standard |
| Mar 10, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Mar 10, 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 |
| Mar 10, 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 |
| Mar 10, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard |
| Mar 10, 2023 | 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 10, 2023 | 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 |
| Apr 15, 2021 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Apr 15, 2021 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Standard |
| Apr 15, 2021 | 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 |
| Apr 15, 2021 | F583 | Keep residents' personal and medical records private and confidential. | B | Standard |
| Apr 15, 2021 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $23,179 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jun 2, 2025 | Fine | $8,278 | — |
| Mar 5, 2025 | Fine | $14,901 | — |
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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