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Complaint Investigation

Southgate Health Care Center

March 27, 2026 · Metropolis, IL · 900 East Ninth Street
Citations 2
CMS Rating 1/5
Beds 140
Provider ID 145386
Healthcare Facility
Southgate Health Care Center
Metropolis, IL  ·  View full profile →
Inspection Summary

Southgate Health Care Center in METROPOLIS, IL — inspection on March 27, 2026.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0677
Quality of Life and Care Deficiencies

with Hospice) V4 was asked if she had ever seen dried bowel movement on R1 and V4 stated, I sure

facility on Tuesdays and Thursdays to provide personal care to her hospice patients. V4 stated, it is

record documents R3 was admitted to the facility on [DATE] and was admitted to hospice care on 7/26/2025. R3's admission record documents diagnoses of Parkinson's Disease, Dementia Severe, Palliative Care, Heart Failure, Major Depressive Disorder, Anxiety Disorder, and Adult Failure to Thrive. R3's Minimum Data Set (MDS) dated [DATE] includes a Brief Interview for Mental Status (BIMS) score of 3 indicating R4 has severe cognition impairment.

Section GG-functional abilities documents R3 is dependent on staff for Activities of Daily Living including transfers and oral care.

Section H-Bladder and Bowel documents R3 is always incontinent of urinary continence and R3 is always incontinent of bowels. R3 MDS documents R3 is not on a bowel program. R3's care plan documents R3 has an ADL self-care performance deficit related to confusion, dementia, impaired balance and Parkinson's. R3 is totally dependent on 1 staff for personal hygiene and oral care. R3 is not toileted. On 3/17/2026 at 11:37AM, R3 was sitting in a geri chair outside of his room. R3 was unable to answer questions at that time. R3 had poor oral hygiene noted.

Teeth were covered in whitish yellow fuzzy like substance all over teeth. R3 was observed with flinching in his legs and was grimacing and gritting his teeth. R3 had just received personal care which did not include oral care.On 3/18/2026 at 12:29PM. V4 (CNA with Hospice) stated she has found dried poop on R3 several times.

V4 stated R3 is usually soaked in urine too. On 3/19/2026 at 2:19, V18 (CNA) was asked if she has ever found dried bowel movement on any of the residents and V18 stated yes but not too often but it does happen from time to time. V18 stated oral care should be part of AM care for the residents. On 3/19/2026 at 1:30PM, V15 (CNA) was asked if he has ever came in and found residents with dried bowel movements on the residents, V15 stated yes I have come in and found that on different residents. V15 was asked if he felt that was because of staffing, V15 stated no it is because some do not have compassion for the residents and do not need to work in this field.

Policy named Perineal Care dated February 2018 documents the purpose of this procedure are to provide cleanliness and comfort to the resident, to prevent infections and skin irritation, and to observe the resident's skin.

145386 03/27/2026

Southgate Health Care Center 900 East Ninth Street Metropolis, IL 62960

audits x 4 weeks.V1, Administrator and V2,DON will submit plan to QA (Quality Assurance) for

jeopardy to resident health or offer recommendations, if needed, until compliance is met.

This committee is made up of safety Administrator, DON, ADON, MDS, Maintenance, Social Services, Therapy, Admin Assistant, Housekeeping Supervisor, Dietary Manager, Activity Director, and Business Office Manager.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in METROPOLIS, IL, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Southgate Health Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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