All citations for Southern Ocean 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 Ocean Center

Last standard health inspection on record

September 8, 2025

Showing 1 to 21 of 21 citations

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

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    Widespread (many residents). CMS level F.

    Health citation F-0809, Nutrition and Dietary Deficiencies. Inspection of April 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2022).

  2. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of April 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2022).

  3. 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 April 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2022).

  4. 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 April 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2022).

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

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

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

    Health citation F-0561, Resident Rights Deficiencies. Inspection of April 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2022).

  6. 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 April 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2022).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of April 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2022).

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of April 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2022).

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

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

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of April 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2022).

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

    Perform COVID19 testing on residents and staff.

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

    Health citation F-0886, Infection Control Deficiencies. Inspection of April 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2022).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of October 5, 2023. Found during an infection control inspection.

    The home gave a date the problem would be corrected (November 14, 2023).

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of October 5, 2023. Found during an infection control inspection.

    The home gave a date the problem would be corrected (November 14, 2023).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of April 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2022).

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2022).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2022).

  16. 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 April 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2022).

  17. 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 April 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2022).

  18. 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.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of April 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2022).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of April 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2022).

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of April 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2022).

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

    Ensure staff are vaccinated for COVID-19

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

    Health citation F-0888, Infection Control Deficiencies. Inspection of April 6, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2022).

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.