Southwood Nursing and Retirement

In the surveyor’s words

From the most serious findings on record at Southwood Nursing and Retirement, in the surveyor’s own words.

• Actual harm, isolatedF689Jul 1, 2024

  Based on record reviews, Physician, staff and Resident interviews, the facility failed to provide a safe transfer when Nurse Aide (NA) #7 failed to utilize a mechanical lift when transferring Resident #2. She was transferred to hospital and diagnosed with a fractured femur. Resident #2 expressed the knee felt like it had been bashed and it was painful. This was for 1 of 3 residents reviewed for falls (Resident #2). The findings included: Resident #2 was admitted to the facility on [DATE] with diagnoses which included coronary artery disease, heart failure, end-stage renal disease and osteoporosis. A review of the care plan that was revised on 9/20/23 revealed Resident #2 required full mechanical lift equipped with the green sling for all transfers with 2 staff during transfers. […]

• Actual harm, isolatedF726Jul 1, 2024

  Based on Physician, staff, resident interviews and record review the facility failed to ensure 1 of 4 agency Nurse Aides (NAs) interviewed were oriented on the first day of assignment to the facility kiosk system, Kardex and residents' transfer method. NA #7 did not use a mechanical lift with assistance to transfer Resident #2 to her recliner. Resident #2 was transferred to the hospital and diagnosed with a fractured femur. This was for 1 of 3 residents reviewed for falls (Resident #2). Findings included: This tag was cross referenced to F 689: Based on record reviews, Physician, staff and Resident interviews, the facility failed to provide a safe transfer when Nurse Aide (NA) #7 failed to utilize a mechanical lift when transferring Resident #2. […]

• No harm, potential for more than minimal, widespreadF812Sep 8, 2022

  Based on observations and staff interviews, the facility failed to date leftover food stored for use in one of one kitchen walk-in refrigerator and failed to date leftover food in one of one nourishment room (300 hall) refrigerator. This had the potential to effect 70 of 70 residents. Findings included: 1. A tour was conducted on 9/6/22 at 9:50 AM with the facility's cook of the kitchen walk-in refrigerator. Observations were made of a large container of tomato sauce with no label, a large container of tomato soup with no label, and a bag of cheese with no label. During an interview on 9/6/22 at 9:55 AM, the cook indicated staff should be labeling everything in the walk-in refrigerator with the date opened and the discard date. Staff monitored the refrigerators daily. […]

• No harm, potential for more than minimal, widespreadF880Sep 8, 2022

  Based on record review and staff interviews, the facility failed to develop and implement a Legionella Prevention program. This had the potential to effect 70 of 70 residents. Findings included: Review of the Emergency Preparedness and Infection Control Programs with review date 8/2/22 revealed the facility did not have a procedure or program for water safety management for Legionella. During an interview on 9/8/22 at 4:10 PM, the Maintenance Director indicated he had received an email from corporate with changes regarding water safety management for Legionella, but they had not implemented the changes. The facility did not complete risk assessment as recommended by corporate. During an interview on 9/8/22 at 4:30 PM, the Administrator revealed she was not aware of the new requirement. […]

• No harm, potential for more than minimal, patternF761Aug 12, 2021

  Based on observation and staff interviews, the facility failed to date an opened medication vial and discard expired medications in 1 of 1 medication rooms and failed to date opened liquid supplements and discard expired medications in 2 of 4 medication carts (100, 400 hall). The findings included: 1 a. An observation was made on 08/12/21 at 10:20 AM of the facility's medication room. An opened 5 milliliter multidose vial of influenza vaccine was in the refrigerator with no date indicating when it was opened. The manufacture's label on the bottle instructed to discard thirty days after opening. The medication room refrigerator was observed to have 8 sealed boxes of influenza vaccine vials with the expiration date 06/30/21. […]