Southern Oaks Therapy and Living Center

In the surveyor’s words

From the most serious findings on record at Southern Oaks Therapy and Living Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF925Aug 8, 2024

  Based on observations, interviews, and record review, the facility failed to maintain an effective pest control program so that the facility was free of pests for five (Halls 100, 200, 300, 400, 500 nurse's station, kitchen conference room break room, and the main dining room), of five halls reviewed for pest control program. The facility had live flies and gnats in areas of the facility including the nurse's station, Halls 100, 200, 300, 400, 500, conference room, break room, and the main dining room. This failure could place residents at risk for spread of infection, cross-contamination, and decreased quality of life. Findings included: An observation on 08/06/24 at 8:00 a.m. […]

• No harm, potential for more than minimal, widespreadF925Aug 8, 2024

  Based on observations, interviews, and record review, the facility failed to maintain an effective pest control program so that the facility was free of pests for five (Halls 100, 200, 300, 400, 500 nurse's station, kitchen conference room break room, and the main dining room), of five halls reviewed for pest control program. The facility had live flies and gnats in areas of the facility including the nurse's station, Halls 100, 200, 300, 400, 500, conference room, break room, and the main dining room. This failure could place residents at risk for spread of infection, cross-contamination, and decreased quality of life. Findings included: An observation on 08/06/24 at 8:00 a.m. […]

• No harm, potential for more than minimal, patternF760May 21, 2026

  Based on interviews and record reviews, the facility failed to ensure residents were free of any significant medication errors for 1 of 5 residents (Resident #1) reviewed for medication errors. The facility failed to administer Resident #1's thyroid medication since she was admitted on [DATE]. This failure could place residents at risk of their medical conditions worsening from lack of treatment. Findings included:Record review of Resident #1's admission MDS, dated [DATE], reflected she was a [AGE] year-old female admitted to the facility on [DATE] with diagnoses which included stroke affecting the left side of her body and her ability to speak, diabetes, kidney failure, and hypothyroidism (thyroid not producing enough hormones, slowing their metabolism). […]

• No harm, potential for more than minimal, patternF880Apr 21, 2026

  Based on observation, interview, and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 2 of 3 residents (Residents #1 and #2) reviewed for infection control practices.1. CNA B and CNA C failed to perform hand hygiene before contact, between care, and change of gloves while providing incontinence care to Resident #1 and Resident #2.2. […]

• No harm, potential for more than minimal, patternF558Feb 15, 2026

  Based on observations, interviews, and record review, the facility failed to ensure the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences for four (Resident #1, #2, #3, and #4) of fifteen residents reviewed for reasonable accommodation of needs. The facility failed to ensure the call light system in Resident #1, #2, #3, and #4's rooms was in a position that was accessible to the residents on 02/015/2026.This failure could place the residents at risk of being unable to obtain assistance when needed and help in the event of an emergency.Findings included: Resident #1 Record review of Resident #1's Face Sheet, dated 02/15/2026, reflected a [AGE] year-old female admitted to the facility on [DATE]. […]