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 20 of 20 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

    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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

  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.

    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).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of July 8, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 24, 2026).

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

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

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

    Health citation F-0909, Environmental Deficiencies. Inspection of July 8, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 24, 2026).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of June 4, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 12, 2026).

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

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of May 7, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 20, 2026).

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service 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

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

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

    Health citation F-0627, Resident Rights Deficiencies. Inspection of February 6, 2026. Found during a complaint inspection.

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

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.