All citations for Southern Hills Rehabilitation Center

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 Southern Hills Rehabilitation Center

Last standard health inspection on record

November 26, 2024

Showing 1 to 25 of 39 citations

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 May 15, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (June 13, 2025).
No harm, with potential for more than minimal harm
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Widespread (many residents). CMS level F.
Health citation F-0838, Administration Deficiencies. Inspection of November 1, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 20, 2023).
No harm, with potential for more than minimal harm
Establish emergency prep training and testing.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of November 1, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 31, 2024).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of November 1, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 31, 2024).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Widespread (many residents). CMS level F.
Fire safety citation K-0293, Egress Deficiencies. Inspection of November 1, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 31, 2024).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Widespread (many residents). CMS level F.
Fire safety citation K-0355, Smoke Deficiencies. Inspection of November 1, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 31, 2024).
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 November 1, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 31, 2024).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of November 1, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 31, 2024).
No harm, with potential for more than minimal harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Widespread (many residents). CMS level F.
Fire safety citation K-0222, Egress Deficiencies. Inspection of December 16, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (February 28, 2022).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of December 16, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (February 28, 2022).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Widespread (many residents). CMS level F.
Fire safety citation K-0293, Egress Deficiencies. Inspection of December 16, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (February 28, 2022).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Widespread (many residents). CMS level F.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of December 16, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (February 28, 2022).
No harm, with potential for more than minimal harm
Properly provide smoke detection systems in areas open to corridors.
Widespread (many residents). CMS level F.
Fire safety citation K-0347, Smoke Deficiencies. Inspection of December 16, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (February 28, 2022).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of December 16, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (February 28, 2022).
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 November 26, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 10, 2025).
No harm, with potential for more than minimal harm
Properly provide smoke detection systems in areas open to corridors.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0347, Smoke Deficiencies. Inspection of November 26, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 3, 2025).
No harm, with potential for more than minimal harm
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0362, Smoke Deficiencies. Inspection of November 26, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 3, 2025).
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 November 1, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 20, 2023).
No harm, with potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Pattern (more than a few residents). CMS level E.
Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of November 1, 2023. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (December 20, 2023).
No harm, with potential for more than minimal harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pattern (more than a few residents). CMS level E.
Health citation F-0758, Pharmacy Service Deficiencies. Inspection of November 1, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 20, 2023).
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 November 1, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 20, 2023).
No harm, with potential for more than minimal harm
Implement a program that monitors antibiotic use.
Pattern (more than a few residents). CMS level E.
Health citation F-0881, Infection Control Deficiencies. Inspection of November 1, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 20, 2023).
No harm, with potential for more than minimal harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Pattern (more than a few residents). CMS level E.
Health citation F-0883, Infection Control Deficiencies. Inspection of November 1, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 20, 2023).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of November 1, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 31, 2024).
No harm, with potential for more than minimal harm
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0362, Smoke Deficiencies. Inspection of November 1, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 31, 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.