Southern Specialty Rehab & Nursing

In the surveyor’s words

From the most serious findings on record at Southern Specialty Rehab & Nursing, in the surveyor’s own words.

• Immediate jeopardy, patternF656Aug 24, 2025

  Based on observation, record review, and interview, the facility failed to develop and implement a comprehensive care plan to meet the highest practicable physical, mental, and psychosocial needs for 1 of 3 residents (Resident #1) reviewed for care plans as follows: The facility failed to ensure to document Resident #1 was required to wear a fire-resistant apron and receive direct supervision from staff while smoking in the care plan, which resulted in staff not being trained or made aware of how to provide the resident with proper care. […]

• Immediate jeopardy, patternF689Aug 24, 2025

  Based on observations, interviews, and record review, the facility failed to ensure that each resident received adequate supervision and assistance devices to prevent accidents for 3 of 3 residents (Resident #1, Resident #2, and Resident #3) reviewed for accidents and supervision. 1. The facility failed to ensure Resident #1 wore a fire-resistant apron and received direct supervision from staff on while smoking on 8/22/2025 and 8/23/25. Resident #1's smoking assessment reflected she required direct supervision when smoking due shaking while smoking, falling asleep while smoking, past accidents/incidents with smoking materials, having visible burn marks on her clothing and she had finger dexterity problems. 2. […]

• Immediate jeopardy, patternF880Jun 13, 2024

  Based on observation, interview and record review the facility failed to establish and maintain an effective Infection Control Program designed to provide a safe, sanitary, and comfortable environment and help prevent the development and transmission of communicable diseases and infections for 1 of 28 residents (Resident #1) and 1 staff (SW) reviewed for infection control. The SW failed to wear appropriate PPE and practice hand hygiene before entering or exiting room [ROOM NUMBER] for Resident #1 who was on contact isolation for Carbapenem Resistant Pseudomonas Aeruginosa (bacteria resistant to certain classes of antibiotics). […]

• Immediate jeopardy, patternF600Jan 20, 2023

  Based on observation, interview and record review, the facility failed to ensure the resident's right to be free from abuse for 5 (Confidential Resident #1, #2, #3, #4, & #5) of 28 residents reviewed for abuse in that: After Confidential Resident #1 reported to the Administrator (ADM) Resident #57 was bullying them, (yelling at them and grabbing their wheelchair). The Administrator failed ensure Confidential Resident #1, was free from abuse and failed to follow through with investigating the incident. After Confidential Resident #2 reported to the ADM Resident #57 was pulling their hair and calling them names, the Administrator failed ensure Confidential Resident #2, was free from abuse and failed to follow through with investigating the incident. […]

• Actual harm, patternF760May 24, 2023

  Based on interview and record review the facility failed to ensure residents were free of any significant medication errors for 3 of 4 residents (R#1, R#2, and R#3) reviewed for significant medication errors. The facility failed to ensure: R#1 received 22 doses of her Vimpat (Lacosamide) from 04/20/23 to 05/18/23. Resident #1 was prescribed Vimpat related to epilepsy and missed 22 doses and had seizure activity and was sent to the hospital on 05/17/23. R#2 received 4 doses of Vimpat (Lacosamide) between 05/05/23 to 05/13/23, and R#3 received 3 doses of Levetiracetam between 05/04/23 to 05/12/23. […]