Southside Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF610Jul 22, 2026

  Based on observation, interview and document review the facility failed to complete a thorough investigation of alleged abuse, provide documentation of an investigation and take action to prevent further abuse for 1 of 3 residents (R1) reviewed for abuse. This resulted in an Immediate Jeopardy (IJ) when the administrator and the director of nursing (DON) were notified of a possible sexual relationship between cook-A and R1 but failed to complete a thorough investigation prior to cook-A returning to work. The IJ began on 7/10/26, when the facility failed to conduct a thorough investigation when alleged abuse was reported. The administrator and owner were notified of the immediate jeopardy at 4:45 p.m. on 7/16/26. […]

• Immediate jeopardy, isolatedF925Jul 22, 2026

  Based on interview, observation and document review the facility failed to maintain a clean and sanitary environment, free of pests. This had the potential to affect residents (R5, R4, R2, R6, R8) as well as all residing at the facility. This resulted in Immediate Jeopardy (IJ) when rodent feces were observed in resident rooms, resident common areas, facility kitchen and facility storage areas. The IJ began on 7/16/26, when the facility failed to take necessary action to control rodents and to make structural repairs which resulted in a rodent infestation. The administrator and owner were notified of the immediate jeopardy on 7/16/26 at 4:45 p.m. […]

• Immediate jeopardy, isolatedF578Apr 6, 2026

  Based on observation, interview, and document review, the facility failed to ensure resident advance directives were accurately and consistently documented between the physician orders in the resident's electronic health record (EHR) and the Provider Order for Life-Sustaining Treatment (POLST) in the hard chart to ensure the resident's wishes would be followed in the event of a cardiac arrest. This resulted in immediate jeopardy for 2 of 13 residents (R2, R6) whose code statuses were not accurately documented, with an additional resident (R1) discrepancy found in a facility-wide audit.The immediate jeopardy began on [DATE], when interviews with the direct care nurse and director of nursing indicated they would implement incorrect procedures and not started CPR on R2 if found without a… […]

• Actual harm, isolatedF740Oct 23, 2024

  Based on interview and document review the facility failed to develop and implement individualized non-pharmacological interventions to manage behaviors for 2 of 2 residents (R1, R3) who had mental health disorders with behaviors. The facility's failures resulted in harm for R1 when she sustained burns from using hot towels to self-soothe to relieve anxiety symptoms and had multiple hospitalization for mental health stabilization. Findings include: R1's face sheet identified R1 was admitted to facility October of 2022 with diagnoses including, borderline personality disorder, generalized anxiety disorder, unspecified mood [affective] disorder, and major depressive disorder, single episode, severe without psychotic features. […]

• No harm, potential for more than minimal, widespreadF583Jul 22, 2026

  Based on observation and document review the facility failed to maintain medical record security and confidentiality when contents of the residents' medical records were stored in resident common area space, where residents could access the information. Findings include:During an observation on 7/15/26 at 1:50 p.m., four discharged residents records were located in the corner of the unlocked furnace room. In addition, an open top box, measuring 12 inches x 12 inches x 12 inches, containing residents' health record information was observed in a shared resident room approximately 6 inches from the door on the floor.During an interview on 7/15/26 at 1:55 p.m., the administrator stated the box contained medical records and personal information for residents who were referred to the facility… […]