Southridge Rehab & Living Ctr

In the surveyor’s words

From the most serious findings on record at Southridge Rehab & Living Ctr, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Mar 10, 2023

  Based on interview, observation, and record review, the facility failed to ensure resident's exhibiting symptoms of gastroenteritis were on contact precautions; failed to ensure Personal Protective Equipment (PPE) supplies were available for use (gowns); failed to disinfect resident rooms and common areas with the appropriate (Environmental Protection Agency) EPA cleaner; and failed to educate and reeducate staff on contact precautions and appropriate disinfection resulting in spread of gastroenteritis creating an immediate jeopardy situation to 9 out of 34 Resident's, as of 3/6/2023, on the B2 Unit. (Resident #41, #29, #28, #32, #13, #27, #26, #35, #4). […]

• Immediate jeopardy, isolatedF689Mar 5, 2025

  Based on interviews, observations and record reviews, the facility failed to provide supervision to a resident after staff found resident in closet in another resident room, with an open window. Resident was previously identified as an elopement risk and had previous exit seeking attempts for 1 of 2 residents identified for elopement risk. Shortly after, the resident was found outside in a snowbank with a second story window open. This failure created an immediate jeopardy situation. (Resident #1) Findings: On 2/17/25 the Department of Licensing and Certification received a facility reported incident indicating [Resident #1] fell into snow from second floor on 2/17/24. […]

• Actual harm, isolatedF689Jul 7, 2025

  Based on clinical record review, review of the facility's transport policy and interviews, a facility Transportation Aid failed to follow the transport a resident to an appointment safely by not attaching the shoulder harness strap and seat belt resulting in resident sliding from wheelchair during a transport and sustaining a fracture of the left femur for 1 of 3 residents reviewed for facility transports. (#1)Resident #1 was admitted to the facility in March of 2025 following a fall, for rehabilitation and treatment of a fracture of the resident's left distal femur, right proximal humerus, Type 2 Diabetes Mellitus, Atrial Fibrillation, and depression. […]

• No harm, potential for more than minimal, widespreadF881Mar 10, 2023

  Based on record review, policy review, and interview, the facility failed to implement their Antibiotic Stewardship Program (ASP) related to tracking of infections. This has the potential to affect all residents for risk of infection. Finding: North Country Associates Policy & Procedure: Antibiotic Stewardship Program, revised 1/2019, under Infection Preventionist: A. Monitors and supports antibiotic stewardship activities through rounds, review of provider orders, documentation, and available reports. B. Tracks antibiotic therapy through use of line listings and pharmacy report. C. Reviews antibiotic resistance patterns: a. […]

• No harm, potential for more than minimal, widespreadF885Mar 10, 2023

  Based on record review, interviews, and Centers for Medicare and Medicaid Services' (CMS) Corona Virus Disease of 2019 (COVID-19) Long-Term Care (LTC) Facility guidelines, the facility failed to notify resident representatives of resident and/or confirmed positive cases of COVID-19 in a timely manner. This has the potential to affect all residents in the facility. Findings: On 3/9/23, a review of the facility's line listing for positive COVID-19 testing stated the following: On 1/22/23, 1 confirmed case was identified by Point of Care (POC) testing. On 1/23/23, 1 confirmed case was identified by POC testing. On 1/24/23, 1 confirmed case was identified by POC testing. On 1/28/23, 3 confirmed cases were identified by POC testing. […]