All citations for Southern Oaks Therapy and Living 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 Oaks Therapy and Living Center

Last standard health inspection on record

September 10, 2025

Showing 1 to 25 of 46 citations

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of September 10, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2025).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of September 10, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2025).

  3. 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 September 10, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2025).

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

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 10, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 10, 2025).

  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 September 10, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 4, 2025).

  6. 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 June 19, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 20, 2025).

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

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Widespread (many residents). CMS level F.

    Health citation F-0925, Environmental Deficiencies. Inspection of August 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2024).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of August 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2024).

  9. 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 August 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2024).

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

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of August 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 14, 2024).

  11. 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 August 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2024).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of August 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2024).

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

    Have properly installed electrical wiring and gas equipment.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0511, Services Deficiencies. Inspection of August 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2024).

  14. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of August 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2024).

  15. 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 August 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2024).

  16. 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 August 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2024).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of May 21, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 29, 2026).

  18. 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 April 21, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 9, 2026).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of February 15, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 2, 2026).

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of January 14, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 23, 2026).

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

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

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

    Health citation F-0559, Resident Rights Deficiencies. Inspection of September 10, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 30, 2025).

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

    Keep residents' personal and medical records private and confidential.

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

    Health citation F-0583, Resident Rights Deficiencies. Inspection of September 10, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2025).

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

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

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

    Health citation F-0628, Resident Rights Deficiencies. Inspection of September 10, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2025).

  24. 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 September 10, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2025).

  25. 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.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of September 10, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2025).

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.