Southland

In the surveyor’s words

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

• Immediate jeopardy, widespreadF880Jan 2, 2021

  Based on observation, interview and record review, the facility failed to implement interventions to prevent the spread of Coronavirus (a highly contagious virus that causes severe respiratory illness that affects the lungs and airways) which had the potential to affect 78 out of 78 residents currently in the facility and affected 58 out of 192 staff members (certified nurse assistants (CNAs 1, 2, 4, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26), Licensed Vocational Nurses (LVNs 4, 5, 6, 7, 8, 9. […]

• Actual harm, isolatedF684Jan 30, 2025

  Based on interview, and record review, the facility failed to ensure the resident, who had diagnosis of type 2 diabetes [a disorder characterized by difficulty in blood sugar control and poor wound healing]) and was receiving blood sugar lowering medication, had blood sugar monitoring to ensure the effectiveness of Empagliflozin (medication to lower blood sugar) and to prevent the resident from having hyperglycemia (level of glucose (blood sugar) in the blood is abnormally high) leading to diabetic ketoacidosis (life-threatening complication of diabetes that occurs when the blood sugar levels are too high and untreated for a prolonged length of time) for one of 3 sampled residents (Resident 1). The facility failed to: 1. […]

• Actual harm, isolatedF689Mar 29, 2024

  Based on observation, interview, and record review, the facility failed to ensure the resident, who was riding in the facility's van while sitting in a wheelchair, had a shoulder seat belt strap on to secure upper body for one of 23 sampled residents (Resident 32). This deficient practice resulted in Resident 32 thrown forward with a wheelchair landing on top of the resident when Driver 1 abruptly stops the vehicle on a yellow light. Resident 32 was admitted to general acute care hospital (GACH) on 3/19/2024 and hospitalized for six days with multiple fractures (broken bone) including fracture to both arms, both legs and neck. […]

• Actual harm, isolatedF689Nov 28, 2023

  Based on interview and record review, the facility failed to ensure a certified nursing assistant (CNA 1) did not provide perineal care (washing the genital [reproductive organs located on the outside of the body] and rectal [area where a person holds stool before excreting it from the body] areas of the body) by himself without the assistance of another staff to a resident who required a two-persons physical assistance with toileting and personal hygiene for one of two sampled residents (Resident 1). […]

• No harm, potential for more than minimal, widespreadF880Dec 17, 2025

  Based on observation. interview and record review, the facility failed to Implement the facilities procedures and policy (P&P) titled Infection Prevention and Control plan revised 5/2023, indicating standard and transmission-based precautions would be followed to prevent the spread of infections by failing to ensure visitors and staff use Personal Protective Equipment (PPE - clothing and equipment that is worn or used to provide protection against hazardous substances and/or environments) when indicated.These failures had the potential to result in compromised infection control measures resulting in the spread of Covid-19 (a highly contagious respiratory infection caused) infection among residents, staff, and visitors.Findings:A. […]