Southpointe Healthcare Center

In the surveyor’s words

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

• Actual harm, isolatedF600Nov 22, 2021

  Based on observation, interview, and record review, the facility failed to ensure a resident was free from Resident 27 having tried to choke her for 1 of 1 resident reviewed for abuse, which resulted in psychosocial distress with pain and redness around a resident's neck that required acute care hospital evaluation. (Resident 66) Findings include: During dining observation, on 11/15/21 at 12:21 P.M., Resident 66 was seated at a table in the dining room. Resident 27 was seated behind Resident 66. At that time, observed Resident 27, without being provoked, to wrap a cloth napkin over Resident 66's head, wrap the neck around her neck, and then pulled on the napkin. Two nurses, who were present in the dining room, immediately, responded and separated Resident 27's hands from Resident 66. […]

• Actual harm, isolatedF686Mar 18, 2021

  Based on interview and record review, the facility failed to accurately assess pressure risks and implement preventative care for a newly admitted resident and failed to promptly implement treatment, resulting in the development of an unstageable pressure ulcer and an increase in size of the pressure ulcer for 1 of 3 residents reviewed for pressure ulcers. (Resident B) Findings include: On 3/17/2021 at 10:26 a.m., the closed clinical record of Resident B was reviewed. diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident B was admitted on [DATE]. An Admission Skin Evaluation, dated 12/14/2020, indicated Resident B was admitted with a surgical area on his right hip. […]

• No harm, potential for more than minimal, isolatedF554Mar 3, 2026

  Based on observation, interview, and record review, the facility failed to ensure a self-medication administration assessment was completed for 1 of 2 residents reviewed for medications left at the bedside. (Resident 9) Finding includes: During an observation on 2/25/26 at 11:30 a.m., Resident 9 was observed in his room while sitting in his wheelchair next to the over the bed table. On top of the over the bed table and on the bedside table, located approximately three feet from the over the bed table, the following topical medications were observed: - One small sized bottle of nystatin topical powder and it was approximately one-third full of the medication. […]

• No harm, potential for more than minimal, isolatedF690Feb 12, 2025

  Based on observation, interview, and record review, the facility failed to ensure a resident with urinary incontinence received care in accordance with professional standards of care for 1 of 4 residents reviewed for incontinence care. (Resident B) Findings include: On 2/11/25 at 7:52 p.m., observed Resident B's call light on. At that time, Resident B indicated that she felt nasty because she needed her incontinence brief changed. On 2/11/25 at 7:56 p.m., LPN 1 was notified that Resident B wanted to have her incontinence brief changed and felt nasty. On 2/11/25 at 7:58 p.m., observed LPN 1 enter Resident B's room. On 2/11/25 at 8:04 p.m., observed LPN 1 exit Resident B's room, push the medication cart to another resident's room, and started preparing medications again. […]

• No harm, potential for more than minimal, isolatedF657Dec 6, 2024

  Based on interview and record review, the facility failed to ensure care plans were revised for 1 of 24 residents reviewed for advanced directives. (Resident 90) Finding includes: The clinical record for Resident 90 was reviewed on 12/3/24 at 11:30 a.m. The diagnoses included, but were not limited to, type 2 diabetes, Alzheimer's disease, congestive heart failure, and chronic obstructive pulmonary disorder. A physician's order, dated 9/16/24, indicated the resident's code status was DNR (do not resuscitate). An Indiana Physician Orders for Scope of Treatment form, dated 9/16/24, indicated that the resident had elected a DNR code status. […]