South Hampton Rehabilitation & Health Care Center

In the surveyor’s words

From the most serious findings on record at South Hampton Rehabilitation & Health Care Center, in the surveyor’s own words.

• Actual harm, isolatedF689Nov 17, 2025

  Based on observation, interview, and record review, facility staff failed to prevent a fall with major injury by not ensuring staff provided protective oversight for one resident (Resident #1) out of one sampled resident during a shower and failed to use a gait belt (a canvas belt placed around the resident's waist to assist with ambulation and transfers) during a transfer for one resident (Resident #4) out of one sampled resident. The facility census was 69.The administrator was notified on 09/22/25 of past Non-Compliance which occurred on 09/20/25 when the administrator implemented a new intervention to monitor the resident while showering. Staff were in-serviced on 09/20/25 and 09/21/25 regarding the new intervention.1. […]

• Actual harm, isolatedF600Mar 31, 2022

  Based on interview and record review, facility staff failed to ensure one resident (Resident #1) remained free from sexual abuse when staff found Resident #2 with his/her hand between Resident #1's legs. The facility census was 55. 1. Review of the facility's Abuse Prohibition Protocol Manual, dated July 2020, showed it is the policy of the facility that each resident will be free from Abuse. Abuse can include verbal, mental, sexual, or physical abuse, misappropriation of resident property and exploitation, corporal punishment or involuntary seclusion. Review showed residents will be protected from abuse, neglect, and harm while they are residing at the facility and no abuse or harm of any type will be tolerated, and residents and staff will be monitored for protection. […]

• No harm, potential for more than minimal, widespreadF803Apr 8, 2025

  Based on observation, interview and record review, the facility staff failed to serve food in accordance with the nutritionally calculated recipes and menus to residents who received regular and pureed diets. The facility census was 57. 1. Review of the facility's Standardized Recipes policy, undated, showed standardized recipes will be used for all menu items, including pureed and therapeutic diets. Review showed each standardized recipe will include measurement and/or weight of ingredients and serving sizes. […]

• No harm, potential for more than minimal, widespreadF812Apr 8, 2025

  Based on observation, interview and record review, the facility staff failed to store food in a manner to prevent potential contamination and outdated use. Facility staff failed to maintain an air gap in two ice machine drains. These failures have the potential to affect all residents. The facility census was 57. 1. Review of the facility's Food Storage policy, undated showed: -All food items will be labeled and the label must include the name of the food and the date by which it should be sold, consumed or discarded; -Discard food that has passed the expiration date; -Wrap food properly. Never leave any food item uncovered and not labeled; -Set refrigerators to the proper temperature to ensure the internal temperature of the food is 41 degrees Fahrenheit (F) or lower. […]

• No harm, potential for more than minimal, widespreadF851Apr 8, 2025

  Based on interview and record review, facility staff failed to electronically submit to the Centers for Medicare and Medicaid Services (CMS), complete and accurate direct care staffing information to the Payroll-Based Journal (PBJ) from October 1, 2024, through December 31, 2024. The facility census was 57. 1. The facility did not provide a policy for Payroll-Based Journal submission. 2. Review of the CMS Electronic Staffing Data Submission PBJ Policy Manual for submission guidelines showed submissions must be received by the end of the 45th calendar day (11:59 PM Eastern Standard Time) after the last day in each fiscal quarter to be considered timely. […]