Southpark Meadows Nursing and Rehabilitation Cente

In the surveyor’s words

From the most serious findings on record at Southpark Meadows Nursing and Rehabilitation Cente, in the surveyor’s own words.

• Actual harm, patternF580Jun 13, 2025

  Based on interview and record review, the facility failed to immediately notify the resident's physician when there was a significant change in the resident's physical status for one (Resident #1) of three residents reviewed for resident rights. The facility failed to notify Resident #1's NP when she was diagnosed with C. diff (a bacterium that causes diarrhea and inflammation of the colon) twice in May of 2025 which caused increased diarrhea and her laxative was not discontinued. This failure placed residents at risk of excessive diarrhea, weight loss, infection, and pain. […]

• Actual harm, patternF684Jun 13, 2025

  Based on interview and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one (Resident #1) of three residents reviewed for quality of care. The facility failed to discontinue Resident #1's laxative when she was diagnosed with C. diff (a bacterium that causes diarrhea and inflammation of the colon) twice in May of 2025 which caused increased diarrhea, dehydration, elevated troponin (a protein that indicates heart damage or injury), and a weight loss of 25 pounds (27.8% weight loss) from 04/30/25 - 06/11/25. This failure placed residents at risk of an increased quality of life, weight loss, pain, and hospitalization. […]

• Actual harm, patternF755May 26, 2024

  Based on observation, interview, and record review, the facility did not provide pharmaceutical services to meet the needs of each resident for one (Resident #1) of four residents reviewed for pharmaceutical services, in that: The facility failed to ensure Resident #1 was administered her prescribed Clonazepam (for anxiety), Duloxetine (for depression), Zyprexa (for agitation), and Melatonin (for insomnia) for four days after admission on 05/22/24. This caused her symptoms of confusion and agitation to exacerbate causing distress. This deficient practice could place residents at risk of not receiving the intended therapeutic benefit of the medications and supplements or could result in worsening or exacerbation of chronic medical conditions. […]

• No harm, potential for more than minimal, widespreadF908Jun 15, 2023

  Based on observation, interview, and record review the facility failed to maintain all mechanical, electrical, and patient care equipment, in safe operating condition, for 1 of kitchen reviewed for essential equipment. 1. The facility failed to ensure that the dishwasher dispensed the correct amount of chlorine to properly sanitize dishes. 2. The facility failed to ensure the freezer was free from leaks. 3. The facility failed to ensure the coffee machine was in good working condition. This failure could place residents at risk of being exposed to food-borne illnesses from equipment that does not function properly. […]

• No harm, potential for more than minimal, patternF880Dec 8, 2025

  Based on observations, interviews and record review, the facility failed to provide a safe and sanitary environment to prevent the development and transmission of communicable diseases and infections for 4 of 7 residents (Resident #59, Resident #23, Resident #46, and Resident #29) reviewed for infection control. 1. The facility failed to properly use personal protective equipment during wound care for Resident #23.2. The facility failed to follow hand hygiene procedure during direct care for Resident #59, Resident #46, and Resident #29.This failure could place residents at risk for infection transmission, sepsis, and hospitalization. […]