Facility profile · CCN 395742
Southwestern Nursing And Rehabilitation Center
60 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $60,520.
Record summary
Federal record · Q1 202660
Total citations
46
Last 3 years
5
Actual harm+
1
Federal penalties
$60,520
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
60 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 24, 2025 | F949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | C | Standard |
| Jan 24, 2025 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Standard |
| Jan 24, 2025 | F946 | Provide training in compliance and ethics. | C | Standard |
| Jan 24, 2025 | F945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | D | Standard |
| Jan 24, 2025 | F944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | B | Standard |
| Jan 24, 2025 | F943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | Standard |
| Jan 24, 2025 | F942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | B | Standard |
| Jan 24, 2025 | F941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | B | Standard |
| Jan 24, 2025 | F848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | C | Standard |
| Jan 24, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jan 24, 2025 | 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 |
| Jan 24, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Jan 24, 2025 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Jan 24, 2025 | F637 | Assess the resident when there is a significant change in condition | D | Standard |
| Jan 24, 2025 | 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 |
| Jun 13, 2024 | F940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | Complaint |
| Jun 13, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Jun 13, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| Jun 13, 2024 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint |
| Jun 13, 2024 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint |
| Jun 13, 2024 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint |
| Jun 13, 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 |
| Jun 13, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Jun 13, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint |
| Jun 13, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | H | Complaint |
| Jun 13, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Mar 13, 2024 | F583 | Keep residents' personal and medical records private and confidential. | D | Complaint |
| Dec 15, 2023 | 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 |
| Dec 15, 2023 | F944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | C | Standard |
| Dec 15, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Dec 15, 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. | D | Standard |
| Dec 15, 2023 | 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. | E | Standard |
| Dec 15, 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 |
| Dec 15, 2023 | F710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | E | Standard |
| Dec 15, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard |
| Dec 15, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard |
| Dec 15, 2023 | F680 | Ensure the activities program is directed by a qualified professional. | D | Standard |
| Dec 15, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Dec 15, 2023 | 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 15, 2023 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Dec 15, 2023 | F575 | Post 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. | D | Standard |
| Dec 15, 2023 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Standard |
| Jun 6, 2023 | F810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | E | Complaint |
| Jun 6, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Apr 21, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Apr 21, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Feb 12, 2023 | F924 | Put firmly secured handrails on each side of hallways. | D | Standard |
| Feb 12, 2023 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Feb 12, 2023 | 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 | Standard |
| Feb 12, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Feb 12, 2023 | 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. | E | Standard |
| Feb 12, 2023 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard |
| Feb 12, 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 |
| Feb 12, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Feb 12, 2023 | F680 | Ensure the activities program is directed by a qualified professional. | E | Standard |
| Feb 12, 2023 | F679 | Provide activities to meet all resident's needs. | E | Standard |
| Feb 12, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard |
| Feb 12, 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. | D | Standard |
| Feb 12, 2023 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Feb 12, 2023 | F576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $60,520 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jun 13, 2024 | Fine | $60,520 | — |
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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