Southwind Nursing & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Southwind Nursing & Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF689Sep 20, 2023

  Based on record review, interviews and observation the facility failed to ensure residents remain free from accidents and hazards for 1(#64) out of 4 (#16, #18, #45, #64) residents investigated for falls by failing to secure Resident #64's wheel chair during transportation. This deficient practice resulted in a harm on 08/02/2023 at 4:00 p.m., when Resident #64's wheelchair was not properly secured in the facility's transportation van. The resident's wheelchair flipped backwards and caused the resident to hit her head. Resident #64 was sent to the hospital for evaluation and was diagnosed with a new small acute subdural hemorrhage. Upon completion of evaluation, Resident #64 was transferred from a local hospital to another hospital for a higher level of care. […]

• Actual harm, isolatedF686Jan 3, 2022

  Based on record review and interviews, the facility failed to ensure that a resident received the necessary treatment consistent with professional standards of practice to prevent and promote the healing of pressure ulcers for 2 residents (#3, #7) out of 7 (#1, #2, #3 #4, #5, #6 and #7) sampled residents reviewed for pressure ulcers by: 1. Failing to perform an accurate skin assessment and implement appropriate treatment on Resident #3's sacral/coccyx region after an area of concern was identified on 11/12/21; and by 2. Failing to obtain treatment in a timely manner for a Stage 2 pressure ulcer to Resident #7's right lower buttock that was identified on 11/19/2021. […]

• No harm, potential for more than minimal, patternF684Aug 25, 2026

  Based on record review, observations, and interview the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice for 1 (#62) of 3 (#1, #37, #62) residents reviewed for respiratory care. The deficient practice was evidenced by the facility failing to ensure: 1. Staff obtained an oral nasal cannula for resident's Trilogy machine (non-invasive breathing support equipment in a timely manner; and2. The resident had a Cough Assist Device (CAD) available.Findings:Review of the facility policy and procedure titled Following Physician Orders Policy and Procedure with no review date read in part:Purpose: The primary objective of this policy is to ensure all physician orders for resident are consistently and accurately followed to… […]

• No harm, potential for more than minimal, patternF812Aug 25, 2026

  Based on observations, interviews, and record reviews, the facility failed to store food in accordance with professional standards, and ensure sanitary conditions were maintained in the kitchen by failing to:Appropriately store, label and date refrigerated, frozen, and dry food items;Ensure kitchen staff wore appropriate hair and beard covering in the kitchen; Cleaning fryer after it was used; andThaw frozen foods in the refrigerator and not at room temperature. The deficient practice had the potential to affect 103 residents who consumed foods from the kitchen.Findings:1.On 08/23/2026, a review of the facility's policy titled, Kitchen Food Storage Areas Policy and Procedure with a last reviewed date of 02/11/2026, read in part: Policy: Dry storage areas will be kept in a condition which… […]

• No harm, potential for more than minimal, patternF644Oct 16, 2024

  Based on record review and interview, the facility failed to ensure a resident identified with a qualified mental disorder was referred to the appropriate state-designated authority for Level II PASARR (Preadmission Screening and Resident Review) evaluation and determination for 2(#6, and #76) of 5 (#6, #8, #66, #76, and #81) residents sampled for PASARR, out of a total sample of 34 residents. Findings: On 10/16/2024, a review of the facility's policy titled, Pre-Admission Screening and Resident Review, reviewed date of 07/05/2024, read in part, . […]