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SOUTHPOINTE HEALTHCARE CENTER Inspection Report, Violations & Safety Grade (INDIANAPOLIS, Indiana)

4904 WAR ADMIRAL DRIVE, INDIANAPOLIS, Indiana 46237

Phone: 3178853333

CMS Overall:5/5

Overview & Bed Count

Certified Beds
100
Avg Residents/Day
92.5
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Marion
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health5/5
Staffing2/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityIndiana AvgDifference
RN Hours per Resident per Day0.650.68-0.03
Total Nurse Hours per Resident per Day3.733.73-0.00
CMS Staffing Rating2/52.6/5-
Nursing Staff Turnover50.5%45.9%-

Health Citation History

6 health citations on record

DateCategoryDescriptionSeverity
2026-03-03Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.D – Moderate Harm Potential
2025-02-12Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2024-12-06Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2024-12-06Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.D – Moderate Harm Potential
2024-05-22Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2024-01-09Quality of Life and Care DeficienciesProvide for the safe, appropriate administration of IV fluids for a resident when needed.D – Moderate Harm Potential

Fire Safety Citation History

20 fire safety citations on record

DateCategoryDescriptionSeverity
2026-03-03Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.F – Moderate Harm Potential
2026-03-03Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2026-03-03Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2026-03-03Gas, Vacuum, and Electrical Systems DeficienciesEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.F – Moderate Harm Potential
2026-03-03Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2026-03-03Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.F – Moderate Harm Potential
2026-03-03Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.E – Moderate Harm Potential
2026-03-03Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2026-03-03Gas, Vacuum, and Electrical Systems DeficienciesEnsure that gas containers are correctly designed and tested, and in locations that are labeled.E – Moderate Harm Potential
2026-03-03Gas, Vacuum, and Electrical Systems DeficienciesEnsure medical gas and vacuum systems have documented maintenance programs.E – Moderate Harm Potential
2026-03-03Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2026-03-03Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2024-12-06Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2024-12-06Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2024-12-06Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2024-12-06Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2024-12-06Gas, Vacuum, and Electrical Systems DeficienciesEnsure medical gas and vacuum systems have documented maintenance programs.E – Moderate Harm Potential
2024-12-06Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2024-01-09Gas, Vacuum, and Electrical Systems DeficienciesHave a battery powered remote alarm panel in a location accessible by operating personnel.F – Moderate Harm Potential
2024-01-09Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.E – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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