Southfield Village

In the surveyor’s words

From the most serious findings on record at Southfield Village, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Dec 21, 2021

  Based on observation, interview and record review, the facility failed to ensure a resident with severe cognitive deficits, who was identified as a high risk for elopement and wore a wanderguard (electronic wander management device), did not exit the building unattended for 1 of 3 residents reviewed for elopement, of 14 residents at risk for elopement. (Resident B) The Immediate Jeopardy began on 12/9/21 at 11:36 P.M., when Resident B was last observed on the facility's video surveillance system exiting the facility. The resident spent the night outside, and was located by a staff member 7 ½ hours later, on 12/10/21 at 7:10 A.M. The Administrator was notified of the Immediate Jeopardy on 12/20/21 at 1:56 P.M. […]

• No harm, potential for more than minimal, widespreadF812Jan 13, 2026

  Based on observation and interview the facility failed to provide a clean and sanitary environment for food preparation and failed to ensure meals served to Resident 11 were within safe serving temperatures. This had the potential to affect 57 of 57 residents who consumed food prepared in the kitchen. Finding includes: 1. During a tour and observation of the kitchen on 1/7/2026 at 9:51 A.M. the following issues were noted: -3 fans in the food preparation area were dusty. -the walls, ceiling, and light fixtures were dusty. -the wall behind the stove and griddle had yellowish-brown matter on it. […]

• No harm, potential for more than minimal, widespreadF812Oct 31, 2024

  Based on observation, interview and record review the facility failed to store and seal food in a sanitary manner related to sealing food appropriately in the walk-in cooler and failed to ensure serving utensils were clean in 1 of 1 kitchens. This had the potential to affect 53 of 53 residents who received their meals from the kitchen. Findings include: 1. During the initial kitchen tour with the Director of Food Services on 10/24/2024 at 9:43 A.M., the following was observed in the walk-in cooler: - a container of pickles was stored without a secure lid and was open to air. During an interview on 10/24/2024 at 9:45 A.M., the Director of Food Services indicated the lid of the pickles should have been secured. 2. […]

• No harm, potential for more than minimal, widespreadF812Jul 26, 2022

  Based on observation, interview and record review, the facility failed to ensure food items in the freezer were dated/labeled and sealed securely after opening and failed to ensure used by dates on foods, failed to dispose of expired foods, failed to ensure cooking utensils/puree mixers/ice machine/refrigerators/reach in freezer/sandwich cooler were clean and in good condition. Failed to have fans without a buildup of dust in 1 of 1 kitchen observed. This deficient practice had the potential to affect 51 of 51 residents who received meals out of the kitchen. Findings include: 1. During an observation of the kitchen on [DATE] at 6:45 A.M., with dietary staff 5 the following was observed in the walk-in freezer: 6 large containers of ice cream sitting on the floor. […]

• No harm, potential for more than minimal, patternF761Jan 13, 2026

  Based on observation, interview and record review, the facility failed to keep medication and treatment carts secured on 3 of 3 halls. (100, 200 and 300 Halls)Findings include: 1. During an observation of the medication cart, on the 100 Hall, on 1/9/2026 from 8:52 A.M. until 8:57 A.M., the medication cart had been unlocked and unattended. During an interview on 1/9/2026 at 8:57 A.M., Registered Nurse 5 indicated the medication cart was not locked, but should have been locked. 2. During an observation of the medication cart, on the 300 Hall, on 1/9/2026 from 8:58 A.M. until 9:03 A.M., the medication cart was unlocked and unattended. […]