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.

Back to Complete Care at Southpointe

Last standard health inspection on record

March 12, 2026

Showing 1 to 19 of 19 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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.

  9. 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).

  10. 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).

  11. 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.

  12. 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.

  13. 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).

  14. No harm, with potential for more than minimal harm

    Protect each resident from the wrongful use of the resident's belongings or money.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0602, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2026).

  15. No harm, with potential for more than minimal harm

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0688, 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).

  16. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0511, Services Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2026).

  17. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0920, 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).

  18. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0923, 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).

  19. No harm, with potential for minimal harm

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Widespread (many residents). CMS level C.

    Health citation F-0628, Resident Rights Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2026).

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.