Southern Trace Rehabilitation and Care Center

In the surveyor’s words

From the most serious findings on record at Southern Trace Rehabilitation and Care Center, in the surveyor’s own words.

• Actual harm, isolatedF600Mar 5, 2025

  Based on observations, interviews, and record review, the facility failed to ensure residents were free from resident-to-resident abuse for 4 (Resident's #4, # 9, #13 and #14) of 14 sampled residents reviewed for abuse. The lack of effective behavior monitoring resulted in Resident #4 having resident to resident abuse that occurred on [DATE]; Resident #9 having resident to resident abuse that occurred on [DATE] and [DATE]; Resident #13 having resident to resident abuse that occurred on [DATE]; and Resident #14 having resident to resident abuse that occurred on [DATE] and [DATE]. Of these incidents, Resident #5 was the physical aggressor. The findings are: 1. […]

• No harm, potential for more than minimal, widespreadF812May 31, 2024

  Based on observation and interview, the facility failed to ensure (1) sanitary procedures were followed when serving food to the residents to prevent a potential foodborne illnesses; failed to ensure food transported to patient in the second dining room which are not adjacent to the main dining room were covered to prevent the potential for cross contamination for 7 residents who received meals in the second dining room; (2) foods stored in the freezer, refrigerator and dry storage area were covered, sealed and dated to minimize the potential for food borne illness for residents who received meals from 1 of1 kitchen; (3) glasses contained beverages were fully covered to be protected from flies or other contamination, (4) dietary staff washed their hands before handling clean equipment or… […]

• No harm, potential for more than minimal, widespreadF812Jun 30, 2023

  Based on observation and interview, the facility failed to ensure sanitary procedures were followed when serving food to the residents to prevent a potential foodborne illness and dietary staff washed their hands before handling clean equipment or food items to prevent a potential food borne illness for residents who received meals from 1 of 1 kitchen; and food and drinks were served using sanitary practices. These failed practices had the potential to affect 85 residents who received meals from the kitchen (total census: 87), as documented on a list provided by the Dietary Supervisor on 06/29/23 at 3:45 PM. The findings are: 1. […]

• No harm, potential for more than minimal, widespreadF812Apr 8, 2022

  Based on observation and interview, the facility failed to ensure food item stored in the refrigerator were covered and sealed, the kitchen floors, storage shelves and equipment were cleaned to provide a sanitary environment for food preparation, dishwasher and kitchen walls were repaired, door frames were free of rotten wood, chipped floor tiles, debris, dirt, grease, grime, rust, stains, and spills; wall tiles were replaced, and dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. The failed practices had the potential to affect 84 residents who received meals from the kitchen (total census: 84), as documented on a list provided by Dietary Employee #1. […]

• No harm, potential for more than minimal, widespreadF812Jan 28, 2021

  Based on observation and interview, the facility failed to ensure food items stored in the refrigerator or freezer were sealed or covered; expired food items were promptly removed /discarded on or before the expiration or use by dates; dietary staff washed their hands and changed gloves between dirty and clean tasks and before handling clean equipment or food items and failed to ensure the ice machine was maintained in clean and sanitary condition to decrease the potential for food borne illness for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 78 residents who received meals from the kitchen (total census:79) as documented on a list provided by the Dietary Employee Supervisor on [DATE]. The findings are: 1. […]