Southland Health and Rehabilitation

In the surveyor’s words

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

• Actual harm, isolatedF600Aug 7, 2025

  Number of residents sampled: Number of residents cited: Based on resident and staff interviews, record review, facility policy review, the facility failed to protect the resident's right to be free from physical abuse and/or sexual abuse/deprivation by staff and /or resident for four of 60 sampled residents (R) (R125, R117, R63, and R25) related to (1) failure to ensure R125 was protected from R117 and as a result, R125 was physically assaulted by R117 and (2) the facility failed to ensure R25 was protected from sexual assault by Housekeeper 1. Harm was identified to have occurred on 1/26/2025, when R125 was assaulted by R117, resulting in R125 receiving multiple skin tears to the left arm, neck, and face. […]

• No harm, potential for more than minimal, patternF880Aug 7, 2025

  Based on observations, staff interviews, record review, and facility policy review, the facility failed to ensure proper infection control for three of 60 sampled residents (Residents (R) 9, R 139, and R 193). Specifically, infection control measures/enhanced barrier precautions were not carried out during gastrostomy tube care. This failure increased the risk for infections and cross-contamination.Findings included:A review of the facility's policy titled, Transmission-Based Precautions (Contact, Enhanced Barrier Precautions, Droplet, Airborne and reviewed on 12/27/2024 stated .Enhanced Barrier Precautions (EBP) are indicated for Patients with any of the following: .indwelling medical devices even if the patient is not known to be infected or colonized with a MDRO [multidrug-resistant… […]

• No harm, potential for more than minimal, patternF565Jan 7, 2022

  Based on observations, interviews with residents and staff, and record review, the facility failed to ensure the dietary services department response to grievances filed by the Resident Council Group and residents for two residents (R) (R#48 and #85) of 39 sampled residents. Findings include: 1. Record review revealed that R#85 was admitted to the facility on [DATE]. Review of the Quarterly Minimum Data Set (MDS) Assessment on 11/25/21 revealed that R#85 had a Brief Interview for Mental Status (BIMS) of 15, meaning that R#85 is cognitively intact. Review of the January 2022 Physician order [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF804Jan 7, 2022

  Based on observations, record review, and interviews the facility failed to provide meals that were prepared by methods that conserve nutritive value, flavor, and appearance and provide meals that were palatable, attractive, and at a safe and appetizing temperature for six residents (R) (R#48, #32, #296, #67, #85, and #44) of 39 residents sampled residents. Findings include: 1. Record review revealed that R#48 was admitted to the facility on [DATE]. A review of the Quarterly Minimum Data Set (MDS) dated [DATE] for R#48 revealed a Brief Interview for Mental Status (BIMS) score of 15, meaning that R#48 is cognitively intact. During an interview on 01/04/22 12:28 p.m., R#48 stated that the Resident Council had a meeting last month. […]

• No harm, potential for more than minimal, isolatedF677Aug 7, 2025

  Based on record review and resident and staff interviews, the facility failed to ensure that Activities of Daily Living (ADL) care was provided for one of 60 sampled residents (R) (R11) related to bathing.Findings included:A review of a document provided by the facility for R11 titled Face Sheet indicated the resident was admitted to the facility on [DATE].A review of the quarterly Minimum Data Set for R11 with an Assessment Reference Date (ARD) of 6/17/2025 indicated the resident had a Brief Interview for Mental Status (BIMS) score of 15 out of 15, which revealed the resident was cognitively intact. […]