Southern Hills Healthcare and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Southern Hills Healthcare and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, widespreadF600Feb 7, 2025

  Based on interviews and record reviews the facility failed to protect the residents' right to be free from sexual abuse and psychosocial harm from another resident for 1 (Resident #36) of 2 (Resident #2 and Resident #36) residents reviewed for abuse. Resident #36 was subject to unwanted sexual contact by Resident #2. The deficient practice resulted in an Immediate Jeopardy on 09/08/2024 at 9:00 p.m. when S4 CNA (Certified Nursing Assistant) observed Resident #2 touching Resident #36's breast in the facility's unlit dining room. S5RN (Registered Nurse) asked Resident #36, who was cognitively impaired, Were you (Resident #36) being touched by Resident #2? and Resident #36 replied, Well yeah, just down here as she pointed to S5 RN's breast. […]

• Immediate jeopardy, widespreadF609Feb 7, 2025

  Based on record reviews and interviews, the facility failed to ensure an alleged violation of sexual abuse was reported immediately to the facility's administrator, to the appropriate state agency within 2 hours after the allegations were made and to local law enforcement for 1 (Resident #36) of 2 (Resident #2 and Resident #36) residents reviewed for abuse. Resident #36 was subject to unwanted sexual contact by Resident #2. The deficient practice resulted in an Immediate Jeopardy on 09/08/2024 at 9:00 p.m. when S4 CNA (Certified Nursing Assistant) observed Resident #2 touching Resident #36's breast in the facility's unlit dining room. […]

• Immediate jeopardy, widespreadF835Feb 7, 2025

  Based on interviews and record reviews, the facility failed to be administered in a manner that enabled its resources to be used effectively and efficiently to attain or maintain the highest practicable physical, mental and psychosocial well-being for 1 (Resident #36) of 2 (Resident #2 and Resident #36) residents reviewed for abuse. The facility failed to have an effective system in place to: 1. protect Resident #36 from sexual abuse by Resident #2 and ensure all residents were free from abuse; 2. report abuse to the appropriate state agency and law enforcement. The deficient practice resulted in an Immediate Jeopardy on 09/08/2024 at 9:00 p.m. when S4 CNA (Certified Nursing Assistant) observed Resident #2 touching Resident #36's breast in the facility's glassed-in, unlit dining room. […]

• Immediate jeopardy, isolatedF689May 14, 2025

  Based on record review, observation, and interviews, the facility failed to ensure a resident received adequate supervision to prevent incidents and accidents. The facility failed to ensure a resident received supervision during incontinent care for 1 (#2) of 3 (#1, #2, #3) residents reviewed for falls. The deficient practice resulted in an immediate jeopardy for Resident #2 on 04/26/2025 at approximately 5:00 a.m. when Resident #2 fell out on the left side of the bed during incontinent care when S4CNA (Certified Nursing Assistant) failed to ensure the resident was secured and safe in the bed to prevent her from falling before she turned away to retrieve an adult brief from the over bed table leaving Resident #2 unsupervised causing Resident #2's fall resulting in a fractured right femur. […]

• Immediate jeopardy, isolatedF600Sep 15, 2021

  Based on interview and record review, the facility failed to ensure a resident was free from sexual abuse for 1 (Resident #1) of 5 (Residents #1-5) sampled residents reviewed by failing to protect a female resident from an aggressive male resident who continued inappropriate, nonconsensual sexual contact. The deficient practice resulted in an Immediate Jeopardy situation for Resident #1 on 08/26/2021 at approximately 1:15 PM when S4 COTA (Certified Occupational Therapy Assistant) found Resident #1, who was incapable of consenting to a sexual relationship, being touched inappropriately by Resident #2 near the nurses' station. Resident #2 was observed by S4 COTA with his hands between Resident #1's legs on her genital area. […]