All citations for Old Southwest Health and Rehabilitation

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 Old Southwest Health and Rehabilitation

Last standard health inspection on record

March 29, 2024

This is more than 2 years ago. Newer inspection results may not be on record yet, so the results below may not describe the home today. Ask the home for its most recent inspection report.

Showing 26 to 50 of 126 citations

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

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

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

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

    Health citation F-0887, Infection Control Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

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

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

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

    Health citation F-0940, Administration Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

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

    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

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

    Health citation F-0941, Administration Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2024).

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

    Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

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

    Health citation F-0942, Resident Rights Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2024).

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

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

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

    Health citation F-0943, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2024).

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

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

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

    Health citation F-0944, Administration Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2024).

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

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

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

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2024).

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

    Provide behavior health training consistent with the requirements and as determined by a facility assessment.

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

    Health citation F-0949, Administration Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2024).

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

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of March 29, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of November 1, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 18, 2024).

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

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of November 1, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 18, 2024).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of November 1, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 18, 2024).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of August 5, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2021).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of August 5, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2021).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of August 5, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2021).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of August 5, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 23, 2021).

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

    Make sure that a working call system is available in each resident's bathroom and bathing area.

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

    Health citation F-0919, Environmental Deficiencies. Inspection of August 5, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2021).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of July 16, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of July 16, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of July 16, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

  24. 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 July 16, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of July 16, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 29, 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.