Southwestern Manor Nursing and Rehabilitation

Certification

Medicare-certified.

Ratings

Inspection history (58)

Records from February 2023 to January 2025.

• January 24, 2025

  Tag F0949

  Provide behavior health training consistent with the requirements and as determined by a facility assessment.

  Severity C: widespread, no actual harm, potential for minimal harm. Corrected March 4, 2025.

• January 24, 2025

  Tag F0578

  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.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 4, 2025.

• January 24, 2025

  Tag F0941

  Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

  Severity B: pattern, no actual harm, potential for minimal harm. Corrected March 4, 2025.

• January 24, 2025

  Tag F0944

  Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

  Severity B: pattern, no actual harm, potential for minimal harm. Corrected March 4, 2025.

• January 24, 2025

  Tag F0946

  Provide training in compliance and ethics.

  Severity C: widespread, no actual harm, potential for minimal harm. Corrected March 4, 2025.

• January 24, 2025

  Tag F0637

  Assess the resident when there is a significant change in condition.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 4, 2025.

• January 24, 2025

  Tag F0758

  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 l….

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 4, 2025.

• January 24, 2025

  Tag F0947

  Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected March 4, 2025.

• January 24, 2025

  Tag F0942

  Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

  Severity B: pattern, no actual harm, potential for minimal harm. Corrected March 4, 2025.

• January 24, 2025

  Tag F0945

  Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 4, 2025.

• January 24, 2025

  Tag F0943

  Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 4, 2025.

• January 24, 2025

  Tag F0848

  Provide a neutral and fair arbitration process and agree to arbitrator and venue.

  Severity C: widespread, no actual harm, potential for minimal harm. Corrected March 4, 2025.

• January 24, 2025

  Tag F0812

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

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected March 4, 2025.

• January 24, 2025

  Tag F0684

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 4, 2025.

• January 24, 2025

  Tag F0641

  Ensure each resident receives an accurate assessment.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 4, 2025.

• June 13, 2024

  Tag F0686

  Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity G: isolated, actual harm. Corrected August 6, 2024.

• June 13, 2024

  Tag F0812

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

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected August 6, 2024.

• June 13, 2024

  Tag F0725

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

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 6, 2024.

• June 13, 2024

  Tag F0744

  Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 6, 2024.

• June 13, 2024

  Tag F0600

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

  Severity G: isolated, actual harm. Corrected August 6, 2024.

Penalties (1)

Total fines: $60,520

• June 13, 2024 · Fine

  CMS recorded a civil money penalty of $60,520 against this nursing home on June 13, 2024.

Staffing

3.14 nurse hours per resident per day in Q2 2026, about the same as in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit