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 26 to 46 of 46 citations

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

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

  2. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of August 8, 2024. Found during a standard inspection.

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

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

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

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

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

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

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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

    Health citation F-0921, 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).

  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.

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

    Fire safety citation K-0222, 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).

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

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

    Fire safety citation K-0223, 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).

  8. 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 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 a complete alarm system manually initiated and initiated by fire sprinkler system connection.

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

    Fire safety citation K-0342, 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).

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

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

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

    Fire safety citation K-0372, 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).

  11. 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).

  12. 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).

  13. 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).

  14. 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).

  15. 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).

  16. 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).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of May 20, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 21, 2025).

  18. 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 April 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 9, 2025).

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

    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

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

    Health citation F-0691, Quality of Life and Care Deficiencies. Inspection of April 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 9, 2025).

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

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of August 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2024).

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

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

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.