All citations for Southridge Rehab & Living Ctr

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 Southridge Rehab & Living Ctr

Last standard health inspection on record

April 30, 2026

Showing 1 to 22 of 22 citations

  1. Immediate jeopardy to resident health or safety

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level L.

    Health citation F-0880, Infection Control Deficiencies. Inspection of March 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 12, 2023).

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

    Implement a program that monitors antibiotic use.

    Widespread (many residents). CMS level F.

    Health citation F-0881, Infection Control Deficiencies. Inspection of March 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 12, 2023).

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

    Report COVID19 data to residents and families.

    Widespread (many residents). CMS level F.

    Health citation F-0885, Infection Control Deficiencies. Inspection of March 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 12, 2023).

  4. 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 March 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2023).

  5. 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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of March 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 12, 2023).

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of March 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 12, 2023).

  7. 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 March 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 12, 2023).

  8. 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 March 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 12, 2023).

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

    Dispose of garbage and refuse properly.

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

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of March 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 12, 2023).

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

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

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

    Health citation F-0838, Administration Deficiencies. Inspection of March 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 12, 2023).

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

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

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

    Health citation F-0868, Administration Deficiencies. Inspection of March 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 12, 2023).

  12. 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 March 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 12, 2023).

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of March 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 12, 2023).

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

    Install noncombustible or limited-combustible interior walls.

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

    Fire safety citation K-0163, Construction Deficiencies. Inspection of March 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2023).

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

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

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

    Fire safety citation K-0232, Egress Deficiencies. Inspection of March 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2023).

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

    Have an enclosure around a vertical opening shaft.

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

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of March 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2023).

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

    Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

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

    Fire safety citation K-0361, Smoke Deficiencies. Inspection of March 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2023).

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

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

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of March 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2023).

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

    Provide properly sized and located linen or trash receptacles.

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

    Fire safety citation K-0754, Miscellaneous Deficiencies. Inspection of March 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2023).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

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

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of March 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2023).

  21. No harm, with potential for minimal harm

    Have proper medical gas storage and administration areas.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2023).

  22. No harm, with potential for minimal harm

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of March 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2023).

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.