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Southern Specialty Rehab & Nursing

📍 4320 W 19th St, Lubbock, TX 79407 📞 (806) 795-1774 🛏️ 144 beds

Inspection History Overview

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Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

June 13, 2024 Complaint Investigation

Fines and Penalties by Year

2023 1 penalties totaling $25,155

$25,155
Jan 20, 2023

Fine

2020 1 penalties totaling $13,000

$13,000
Aug 21, 2020

Fine

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Health Violations by Year

2025 3 violations

Tag 0690 D Apr 15, 2025

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: May 7, 2025
Tag 0812 D Apr 15, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: May 7, 2025
Tag 0880 E Apr 15, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: May 7, 2025

2024 10 violations

Tag 0761 D Jun 27, 2024

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.

✓ Corrected: Jun 28, 2024
Tag 0880 K Jun 13, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 17, 2024
Tag 0645 E Mar 7, 2024

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: Apr 7, 2024
Tag 0690 D Mar 7, 2024

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Apr 7, 2024
Tag 0693 D Mar 7, 2024

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: Apr 7, 2024
Tag 0761 D Mar 7, 2024

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.

✓ Corrected: Apr 7, 2024
Tag 0812 F Mar 7, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Apr 7, 2024
Tag 0842 E Mar 7, 2024

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

✓ Corrected: Apr 7, 2024
Tag 0880 E Mar 7, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 7, 2024
Tag 0689 D Feb 8, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Feb 9, 2024

2023 10 violations

Tag 0600 D Aug 18, 2023

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

✓ Corrected: Aug 19, 2023
Tag 0602 E Aug 18, 2023

Protect each resident from the wrongful use of the resident's belongings or money.

✓ Corrected: Aug 19, 2023
Tag 0607 D Aug 18, 2023

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Aug 19, 2023
Tag 0602 E May 24, 2023

Protect each resident from the wrongful use of the resident's belongings or money.

✓ Corrected: May 30, 2023
Tag 0755 E May 24, 2023

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

✓ Corrected: May 30, 2023
Tag 0760 H May 24, 2023

Ensure that residents are free from significant medication errors.

✓ Corrected: May 30, 2023
Tag 0585 E Jan 20, 2023

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

✓ Corrected: Jan 21, 2023
Tag 0600 K Jan 20, 2023

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

✓ Corrected: Jan 21, 2023
Tag 0689 F Jan 20, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jan 21, 2023
Tag 0812 D Jan 20, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jan 21, 2023

2022 1 violations

Tag 0880 E Oct 17, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Oct 27, 2022

2021 5 violations

Tag 0693 D Oct 27, 2021

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: Nov 2, 2021
Tag 0759 D Oct 27, 2021

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Nov 2, 2021
Tag 0761 E Oct 27, 2021

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.

✓ Corrected: Nov 2, 2021
Tag 0926 D Oct 27, 2021

Have policies on smoking.

✓ Corrected: Nov 2, 2021
Tag 0580 D Jun 16, 2021

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Jul 1, 2021

2020 11 violations

Tag 0623 D Aug 21, 2020

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

✓ Corrected: Sep 10, 2020
Tag 0880 F Aug 21, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 10, 2020
Tag 0604 D Mar 3, 2020

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Mar 23, 2020
Tag 0689 D Mar 3, 2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Mar 23, 2020
Tag 0584 E Feb 12, 2020

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.

✓ Corrected: Mar 6, 2020
Tag 0644 D Feb 12, 2020

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

✓ Corrected: Mar 6, 2020
Tag 0675 E Feb 12, 2020

Honor each resident's preferences, choices, values and beliefs.

✓ Corrected: Mar 6, 2020
Tag 0677 E Feb 12, 2020

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Mar 6, 2020
Tag 0725 E Feb 12, 2020

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

✓ Corrected: Mar 6, 2020
Tag 0726 E Feb 12, 2020

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Mar 6, 2020
Tag 0880 E Feb 12, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 6, 2020

2019 3 violations

Tag 0655 E Oct 11, 2019

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Nov 12, 2019
Tag 0679 E Oct 11, 2019

Provide activities to meet all resident's needs.

✓ Corrected: Nov 12, 2019
Tag 0773 E Oct 11, 2019

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

✓ Corrected: Nov 12, 2019

2018 14 violations

Tag 0583 E Nov 9, 2018

Keep residents' personal and medical records private and confidential.

✓ Corrected: Dec 15, 2018
Tag 0584 E Nov 9, 2018

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.

✓ Corrected: Dec 24, 2018
Tag 0637 D Nov 9, 2018

Assess the resident when there is a significant change in condition

✓ Corrected: Dec 7, 2018
Tag 0641 E Nov 9, 2018

Ensure each resident receives an accurate assessment.

✓ Corrected: Dec 7, 2018
Tag 0656 E Nov 9, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Dec 7, 2018
Tag 0657 E Nov 9, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Dec 7, 2018
Tag 0677 D Nov 9, 2018

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Dec 7, 2018
Tag 0688 D Nov 9, 2018

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Dec 7, 2018
Tag 0693 E Nov 9, 2018

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: Dec 7, 2018
Tag 0758 E Nov 9, 2018

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.

✓ Corrected: Dec 7, 2018
Tag 0759 E Nov 9, 2018

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Dec 7, 2018
Tag 0761 E Nov 9, 2018

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.

✓ Corrected: Dec 7, 2018
Tag 0770 E Nov 9, 2018

Provide timely, quality laboratory services/tests to meet the needs of residents.

✓ Corrected: Dec 7, 2018
Tag 0880 E Nov 9, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 7, 2018

2017 11 violations

Tag 0248 D Oct 19, 2017

Provide activities to meet the interests and needs of each resident.

✓ Corrected: Nov 20, 2017
Tag 0251 E Oct 19, 2017

Hire a qualified full-time social worker in a facility with more than 120 beds.

✓ Corrected: Nov 27, 2017
Tag 0280 D Oct 19, 2017

Allow residents the right to participate in the planning or revision of care and treatment.

✓ Corrected: Nov 20, 2017
Tag 0318 E Oct 19, 2017

Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.

✓ Corrected: Nov 20, 2017
Tag 0323 E Oct 19, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

✓ Corrected: Nov 20, 2017
Tag 0371 F Oct 19, 2017

Store, cook, and serve food in a safe and clean way.

✓ Corrected: Nov 20, 2017
Tag 0431 E Oct 19, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

✓ Corrected: Nov 20, 2017
Tag 0465 F Oct 19, 2017

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

✓ Corrected: Oct 24, 2017
Tag 0502 E Oct 19, 2017

Give or get quality laboratory services/tests in a timely manner to meet the needs of residents.

✓ Corrected: Nov 20, 2017
Tag 0518 E Oct 19, 2017

Train all employees on what to do in an emergency, and carry out unannounced staff drills.

✓ Corrected: Nov 20, 2017
Tag 0441 E Oct 6, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Nov 15, 2017
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