Southgate Living Center

In the surveyor’s words

From the most serious findings on record at Southgate Living Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Sep 18, 2023

  Based on interview and record review, the facility failed to ensure one resident (Resident #1) of three sampled residents received treatment for chest pain per accepted standards of practice when Registered Nurse (RN) A administered a dose of Nitroglycerin when the resident's systolic blood pressure was 75 (below 100). RN A continued to administer two more doses of Nitroglycerin without obtaining a physician's order and without getting a blood pressure reading prior to the dose. The resident's blood pressure was 45/26 upon leaving the facility via ambulance and he/she spent two days in the hospital receiving treatment for low blood pressure. The facility census was 67. The Administration was notified on 09/18/23 of the Past Non-Compliance Immediate Jeopardy which occurred on 09/11/23. […]

• Immediate jeopardy, isolatedF600Mar 25, 2021

  Based on interview and record review, the facility failed to protect the well-being and safety of one resident (Resident #1), out of twelve sampled residents, from verbal and mental abuse, humiliation and an increased risk of infection when a staff member responded to the resident's behaviors by spitting in the resident's face during the COVID 19 (an acute respiratory illness in humans) pandemic. The facility census was 58. On 03/25/21 at 2:51 P.M., the administrator was notified of the past noncompliance immediate jeopardy (IJ) which occurred on 8/21/2020. On 8/21/2020, the facility administrator became aware that a Dietary Aide (DA) had become confrontational with a resident and spit on the resident. The facility took corrective action by immediately initiating an investigation. […]

• No harm, potential for more than minimal, widespreadF761Feb 9, 2024

  Based on observation, interview and record review, the facility failed to ensure drugs and biologicals were labeled in accordance with currently accepted practices. The facility also failed to ensure one resident (Resident #20) outside of the sample of 16 residents had a physician's order to keep medications at the bedside. This had the potential to affect all residents. The facility census was 64. Review of the facility policy titled, Storage of Medications, revised November 2020, showed: - Drug containers that have missing, incomplete, improper, or incorrect labels are returned to the pharmacy for proper handling before storing; - Discontinued, outdated, or deteriorated drugs or biologics are returned to the dispensing pharmacy or destroyed; - The nursing staff is responsible for… […]

• No harm, potential for more than minimal, widespreadF812Feb 9, 2024

  Based on observation, interview, and record review, the facility failed to store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. This has the potential to affect all residents. The facility census was 64. Review of the facility's policy titled, Food Preparation and Service, revised November 2022, showed: - Appropriate measures are to prevent cross contamination; - Cleaning and sanitizing work surfaces including cutting boards and food-contact equipment between uses, following food code guidelines; - Cross-contamination can occur when harmful substances, i.e., chemical or disease-causing microorganisms (a microscopic organism, especially a bacterium, virus, or fungus) are transferred to food by hands including gloved hands,… […]

• No harm, potential for more than minimal, patternF880Jun 5, 2026

  Based on observation, interview, and record review, the facility failed to follow infection control precautions by failing to implement Enhanced Barrier Precautions (EBP - precautions for use during high-contact resident care activities for residents infected with a multidrug-resistant organism (MDRO - microorganisms resistant to one or more classes of antimicrobial agents) or residents with a chronic wound and/or indwelling medical device) for two residents (Residents #2 and #8) out of three sampled residents. […]