Southland Health Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF760Jun 9, 2023

  Based on interviews, record review, document review, and facility policy review, the facility failed to ensure a significant medication error did not occur for 1 (Resident (R)1) of 3 residents reviewed for medication administration. During the 9:00 AM medication pass on 06/05/23, R1 received their own prescribed anti-hypertensive medication (used to treat high blood pressure), a calcium channel blocker (used to treat high blood pressure) and a beta blocker (used to treat high blood pressure and heart failure). During the same medication pass, a different nurse administered R1 antihypertensive and beta blocker medications ordered for a different resident, R6. […]

• No harm, potential for more than minimal, widespreadF880Sep 30, 2021

  Based on observations and interview, the facility failed to ensure the staff were appropriately screened for COVID (Coronavirus-19) prior to entering the residents residential area. The findings included: Random observations on 9/28/21 from approximately 8:10 AM to 9:20 AM revealed two (2) staff members coming up to the nursing station on the 100 Hall to complete their COVID screening. A therapist was observed taking his/her temperature with the provided thermometer and then jokingly stated 93.7, I know that is not right because I would be dead. About 10 minutes later, maintenance staff was observed taking his/her temperatures on unit and documenting the temperature in the book left on counter at nursing station. […]

• No harm, potential for more than minimal, patternF760Sep 30, 2021

  Based on record reviews and interviews, the facility failed ensure that a resident received insulin per physician's order for 1 of 6 sampled residents reviewed for unnecessary medications. Resident #52 did not receive sliding scale insulin as ordered. The findings included: The facility admitted Resident #52 on 1/22/18 and readmitted date of 6/14/21 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A review of the Electronic Medication Administration Record [MEDICAL RECORD OR PHYSICIAN ORDER] . Blood Sugar Sliding scale 70-150=0; 151-200=2 units; 201-250=4 units; 251-300=6; 301-350=8 units; 351-400=10 units > (greater) 400 give 12 units and call MD (Medical Doctor). Further review of the Electronic Medication Administration Record [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF842Sep 30, 2021

  Based on record reviews and interviews, the facility failed that a resident's medical record was accurately documented for 1 of 6 sampled residents reviewed for unnecessary medications. Resident #52 had blanks on the medication administration sheets for the month of July and August 2021. The findings included: The facility admitted Resident #52 on 1/22/18 and readmitted date of 6/14/21 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A review of the Electronic Medication Administration Record [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, isolatedF628Jan 8, 2026

  Based on review of the facility policy, record reviews, and interviews, the facility failed to provide a completed Bed-hold document for Resident (R)2 and/or her responsible party within a practicable amount of time, for 1 of 3 residents reviewed for hospitalization. Findings include: Review of the facility policy titled, Bed Hold Prior to Transfer, reviewed and revised 10/30/2022, states, It is the policy of this facility to provide written information to the resident and/or the resident representative regarding bed hold policies prior to transferring a resident to the hospital.Notice before Transfer:1. The facility will notify residents and/or their representative to make them aware of the facility's bed-hold policy when transferred to the hospital.2. […]