Southwest Medical Center SNF

In the surveyor’s words

From the most serious findings on record at Southwest Medical Center SNF, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF727Apr 22, 2026

  Based on observation, interview, and record review, the facility failed to provide eight consecutive hours of Registered Nurse (RN) staff daily for the residents of the facility.Findings included:- The 08/05/25 Facility Assessment, documentation included: Staff/Personnel required, which stated Skilled Nursing Unit bases staffing on the resident population and their needs for care and support. A good faith effort and approach is made to ensure sufficient, qualified staff is available to meet the needs of the residents at any given time. The staffing plan in place can be adjusted based on changes in the resident census. The nurse to resident ratio is six residents to one RN and one Certified Nurse Aide. […]

• No harm, potential for more than minimal, widespreadF880Apr 22, 2026

  Based on interviews, observation and record review, the facility failed to utilize Enhanced Barrier Precautions (EBP- infection control interventions designed to reduce transmission of resistant organisms which employ targeted gown and glove use during high contact care) when providing direct care to a Resident (R) 11 with a Stage 2 (partial-thickness skin loss into but no deeper than the dermis including intact or ruptured blisters) pressure ulcer. The facility further failed to ensure adequate hand hygiene before medication administration for R11 and R2. Findings included:1. […]

• No harm, potential for more than minimal, widespreadF812Jun 12, 2024

  The facility reported a census of four residents. Based on observation, interview, and record review, the facility failed to serve food under sanitary conditions, to the residents of the facility appropriately to prevent the potential for food borne illness. This deficient practice had the potential to negatively affect all residents in the facility. Findings included: - During observation of the noon meal service in the kitchen on 06/11/24 at 11:35 AM, Dietary Staff G removed a thermometer probe from the sheath in her sleeve pocket and placed the tip of the thermometer into a steak product without sanitizing the thermometer probe. […]

• No harm, potential for more than minimal, widespreadF814Jun 12, 2024

  The facility reported a census of four residents. Based on observation, interview, and record review, the facility failed to maintain and/or dispose of garbage and refuse properly in a sanitary condition to prevent the harborage and feeding of pests. Findings included: - Initial tour of the kitchen facilities on 06/10/24 at 02:00 PM with Dietary Manager F, revealed that the outside dumpster area contained eight double-lidded dumpsters and that four of the eight dumpster lids were in the open position. […]

• No harm, potential for more than minimal, widespreadF851Jun 12, 2024

  The facility reported a census of four residents. Based on observation, interview, and record review the facility failed to electronically submit to Centers for Medicare and Medicaid Services (CMS) with complete and accurate direct staffing information, based on payroll and other verifiable and auditable data in a uniform format according to specifications established by CMS (i.e. Payroll Base Journal (PBJ), related to licensed nursing staffing information, when the facility failed to accurately report 24 hour per day Licensed Nurse coverage on 59 dates between 01/01/23 and 12/31/23. […]