All citations for Complete Care at Southpointe

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

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Last standard health inspection on record

March 12, 2026

Showing 1 to 25 of 45 citations

Immediate jeopardy to resident health or safety
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Isolated (one or a few residents). CMS level J.
Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 13, 2023).
Immediate jeopardy to resident health or safety
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Isolated (one or a few residents). CMS level J.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 13, 2023).
Harm to a resident
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Isolated (one or a few residents). CMS level G.
Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 5, 2026).
Harm to a resident
Provide enough food/fluids to maintain a resident's health.
Isolated (one or a few residents). CMS level G.
Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 13, 2023).
No harm, with potential for more than minimal harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Widespread (many residents). CMS level F.
Health citation F-0851, Administration Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 5, 2026).
No harm, with potential for more than minimal harm
Install an approved automatic sprinkler system.
Widespread (many residents). CMS level F.
Fire safety citation K-0351, Smoke Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 5, 2026).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 5, 2026).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 5, 2026).
No harm, with potential for more than minimal harm
Provide emergency officials' contact information.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of October 17, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 17, 2024).
No harm, with potential for more than minimal harm
Implement emergency and standby power systems.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of October 17, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 13, 2024).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 17, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 12, 2024).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Widespread (many residents). CMS level F.
Health citation F-0880, Infection Control Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 13, 2023).
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
Widespread (many residents). CMS level F.
Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 11, 2023).
No harm, with potential for more than minimal harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Pattern (more than a few residents). CMS level E.
Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 12, 2026. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (April 5, 2026).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pattern (more than a few residents). CMS level E.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 5, 2026).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0293, Egress Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.
The home has a plan to correct it.
No harm, with potential for more than minimal harm
Install a fire alarm system that can be heard throughout the facility.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0341, Smoke Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 5, 2026).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 5, 2026).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.
The home has a plan to correct it.
No harm, with potential for more than minimal harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0374, Smoke Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.
The home has a plan to correct it.
No harm, with potential for more than minimal harm
Have restrictions on the use of highly flammable decorations.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0753, Miscellaneous Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 5, 2026).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0211, Egress Deficiencies. Inspection of October 17, 2024. Found during a standard inspection.
A waiver was granted (January 31, 2025).
No harm, with potential for more than minimal harm
Install a fire alarm system that can be heard throughout the facility.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0341, Smoke Deficiencies. Inspection of October 17, 2024. Found during a standard inspection.
A waiver was granted (January 31, 2025).
No harm, with potential for more than minimal harm
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0908, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 17, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 11, 2024).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pattern (more than a few residents). CMS level E.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 13, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.