CMS data shows Southwood Nursing And Retirement earning a D grade with a score of 50/100, placing it below most facilities in North Carolina. Prospective residents and families should carefully review the specific areas of concern detailed below.
Staffing levels are a potential concern at Southwood Nursing And Retirement, with 3.32 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent inspections identified 10 deficiencies at Southwood Nursing And Retirement. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.32 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.21 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.88 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.22 | 2.4 | Average |
| Weekend Total Nursing | 3.14 | 3.8 | Below Average |
| Weekend RN Hours | 0.12 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0695 Severity DProvide safe and appropriate respiratory care for a resident when needed.Jan 23, 2025 · Quality of Life and Care Deficiencies
- Tag 0842 Severity DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarJan 23, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Jan 23, 2025 · Quality of Life and Care Deficiencies
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Jun 30, 2024 · Quality of Life and Care Deficiencies
- Tag 0726 Severity GEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Jun 30, 2024 · Nursing and Physician Services Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 9.3% | 4.5% | Worse |
| Falls with major injury | 1.4% | 3.0% | Better |
| On antipsychotic medication | 8.7% | 14.5% | Better |
| Urinary tract infections | 0.7% | 2.5% | Better |
| ADL decline (daily activities) | 7.5% | 14.0% | Better |
| Excessive weight loss | 5.6% | 7.5% | Better |
| New/worsened incontinence | 28.4% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $8,512
How This Grade Was Calculated
This facility's grade of D is based on a score of 50 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -0 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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