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 25 of 28 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  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

    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).

  15. 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).

  16. 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).

  17. 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 August 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 11, 2023).

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

    Install properly constructed and protected linen or trash chutes.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0541, Services Deficiencies. Inspection of August 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 11, 2023).

  19. 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).

  20. 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).

  21. 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).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of October 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 12, 2024).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of October 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 17, 2024).

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

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

    Fire safety citation K-0914, 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 (October 17, 2024).

  25. 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 October 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 17, 2024).

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.