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 25 of 32 citations

  1. 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 September 8, 2025. Found during a standard inspection.

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

  2. 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).

  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.

    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).

  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 September 8, 2025. Found during a standard inspection.

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

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of May 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 4, 2024).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of March 3, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 1, 2026).

  13. 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 March 3, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 1, 2026).

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

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 8, 2025. Found during a complaint inspection.

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

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

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

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

    Health citation F-0640, Resident Assessment and Care Planning Deficiencies. Inspection of September 8, 2025. Found during a standard inspection.

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

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of June 6, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 15, 2025).

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of May 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 4, 2024).

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

    Assess the resident when there is a significant change in condition

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

    Health citation F-0637, Resident Assessment and Care Planning Deficiencies. Inspection of May 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 4, 2024).

  19. 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.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of May 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 4, 2024).

  20. 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.

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

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of May 2, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 4, 2024).

  21. 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 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 4, 2024).

  22. 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).

  23. 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).

  24. 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).

  25. 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).

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.