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Inspection visit

Complaint

SOUTHLAND HOMELicense 4058025551 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

staff schedules for September 2020 and all Staff training records for initial or annual training Sept 2019-Sept 2020. LPA received documentation on 09/18/2020, 09/23/2020, 10/13/2020, 11/05/2020, 11/06/2020 and 11/09/2020. LPA reviewed all documentation on 07/12/2022 at 2:00 PM. On the allegation: Staff are not adequately trained. LPA conducted interviews with staff, requested and reviewed documentation which revealed the staff did not have adequate dementia training to meet the needs of R1. Based on the evidence this allegation is deemed Substantiated at this time. Exit interview conducted, deficiency cited, copy of report emailed to Administrator. LPA received documentation on 09/18/2020, 09/23/2020, 10/13/2020, 11/05/2020, 11/06/2020 and 11/09/2020. LPA reviewed all documentation on 07/12/2022 at 2:00 PM. On the allegation: Staff does not prevent inappropriate interactions between residents. LPA interviewed staff which revealed staff do intervene with Resident 1 (R1) when R1 is having behaviors issues with other staff and residents. Staff interviews revealed R1’s diagnosis is worsening, R1 acts fast and staff have been unable to intervene in time when incidents have occurred, therefore this allegation is deemed Unsubstantiated at this time. Exit interview conducted, copy of report emailed to Administrator.

Citations

3 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87506(a)Type A

    Maintain separate complete record for each resident

    (a)The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility...readily available to facility staff and to licensing agency staff. This requirement was not met as evidenced by: Based on observation and record review the licensee did not comply with the above regulation. Resident files were not complete and current which poses a immediate health and safety risk to residents in care.

  • 87608(a)(3)Type A

    Maintain physician order documentation in resident record

    (a)...(3)A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record...This requirement was not met as evidenced by: Based on interviews and record review the licensee did not comply with the regulation above R1 did not have any doctors orders for the postural supports and the postural supports were being used by staff to limit R1’s abilities which poses an immediate health, safety and personal rights risk to residents in care.

  • 87707(a)(2)(A)(1Type A

    (a)...(2)...(A)...training topics shall be covered annually, and all topics shall be covered within a three-year period (1-6)...: This requirement was not met as evidenced by: Based on interviews and record review the licensee did not comply with the above regulation as staff did not have dementia training which poses an immediate health,Personal rights risk to residents in care

FAQ · About this visit

Common questions about this visit

What happened during the July 14, 2022 inspection of SOUTHLAND HOME?

This was a complaint inspection of SOUTHLAND HOME on July 14, 2022. 1 citation were issued: 1 Type A (serious).

Were any citations issued to SOUTHLAND HOME on July 14, 2022?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "(a)The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facili..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.