Public Record
Southpoint Rehabilitation and Healthcare Center
From CMS
Facility profile
- CMS overall rating
- 1 / 5
- Certified beds
- 140
- Avg. residents per day
- 117.7
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 57
- Inspections on file
- 10
- Last inspection
- 2025-04-10
*CMS
*CMS
*CMS
Citations
57 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0341Generalpotential for harm
Install a fire alarm system that can be heard throughout the facility.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0657Generalpotential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- 0602Generalpotential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
- 0521Generalpotential for harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- 0372Generalpotential for harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0641Generalpotential for harm
Ensure each resident receives an accurate assessment.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0809Generalpotential for harm
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- 0914Generalpotential for harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- 0372Generalpotential for harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 0363Generalpotential for harm
Install corridor and hallway doors that block smoke.
- 0211Generalpotential for harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0161Generalpotential for harm
Use approved construction type or materials.
- 0554Generalpotential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
- 0578Generalpotential for harm
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- 0585Generalpotential for harm
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- 0660Generalpotential for harm
Plan the resident's discharge to meet the resident's goals and needs.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0657Generalpotential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- 0679Generalpotential for harm
Provide activities to meet all resident's needs.
- 0761Generalpotential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- 0867Generalpotential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- 0580Generalpotential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 0600Seriousimmediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 0661Generalpotential for harm
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- 0684Seriousimmediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0686Generalpotential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0726Seriousimmediate jeopardy
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- 0745Generalpotential for harm
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- 0760Generalpotential for harm
Ensure that residents are free from significant medication errors.
- 0660Generalpotential for harm
Plan the resident's discharge to meet the resident's goals and needs.
- 0689Seriousimmediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0324Generalpotential for harm
Provide properly protected cooking facilities.
- 0880Seriousimmediate jeopardy
Provide and implement an infection prevention and control program.
- 0867Generalpotential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0761Generalpotential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0211Generalpotential for harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0291Generalpotential for harm
Install emergency lighting that can last at least 1 1/2 hours.
- 0345Generalpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0372Generalpotential for harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 0511Generalpotential for harm
Have properly installed electrical wiring and gas equipment.
- 0521Generalpotential for harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- 0911Generalpotential for harm
Meet requirements for the installation and maintenance of electrical systems.
- 0697Seriousactual harm
Provide safe, appropriate pain management for a resident who requires such services.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0732Generalno actual harm
Post nurse staffing information every day.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection11 deficiencies
- View inspection reportInspection11 deficiencies
- View inspection reportInspection1 deficiency
- View inspection reportInspection1 deficiency
- View inspection reportInspection22 deficiencies
- View inspection reportInspection22 deficiencies
- View inspection reportInspection2 deficiencies
- View inspection reportInspection1 deficiency
- View inspection reportInspection1 deficiency
- View inspection reportInspection18 deficiencies
Showing the 10 most recent inspections. 1 earlier inspection is also on record.
FAQ
Questions and answers
- What is Southpoint Rehabilitation and Healthcare Center?
- Southpoint Rehabilitation and Healthcare Center is a Medicare- and Medicaid-certified nursing home in Durham, NC, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 345408.
- What is the CMS rating for Southpoint Rehabilitation and Healthcare Center?
- Southpoint Rehabilitation and Healthcare Center has a CMS overall rating of 1 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Southpoint Rehabilitation and Healthcare Center have?
- Southpoint Rehabilitation and Healthcare Center is certified for 140 beds. It serves an average of 117.7 residents per day.
- How many citations does Southpoint Rehabilitation and Healthcare Center have?
- Southpoint Rehabilitation and Healthcare Center has 57 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Southpoint Rehabilitation and Healthcare Center last inspected?
- Southpoint Rehabilitation and Healthcare Center was last inspected on April 10, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
/nursing-home/345408-southpoint-rehabilitation-and-healthcare-center