Above average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at South Haven Living Center during CMS and state inspections, most recent first.
The facility did not establish or maintain an infection prevention and control program as required, resulting in a deficiency identified by surveyors.
The facility kitchen failed to label and date a clear container of lemonade, dispose of expired drink and food items, and remove dented cans from resident use. Observations revealed multiple unlabeled or expired items and dented cans in the kitchen and dry storage room. Interviews with staff confirmed these items should have been removed.
The facility failed to monitor bowel movements and provide PRN medication per the elimination protocol for a resident with severe cognitive impairment, leading to potential constipation. Despite having orders for bowel medications, there were significant lapses in administration and documentation over several months. Staff interviews revealed inconsistencies in following the protocol and a lack of recent training on bowel management.
The facility failed to perform proper hand hygiene and infection control practices during resident care, including not changing gloves between tasks, using a brief that had fallen on the floor, and administering a dropped medication without discarding it.
Failure to Implement Infection Prevention and Control Program
Penalty
Summary
The facility failed to provide and implement an infection prevention and control program. This deficiency was identified during the survey process, indicating that the required measures to prevent and control infections were not established or maintained as per regulatory standards. The report notes the absence of a comprehensive infection prevention and control program but does not provide further details regarding specific actions, inactions, or events, nor does it mention any particular residents or staff involved.
Failure to Properly Label, Date, and Dispose of Food Items
Penalty
Summary
The facility kitchen failed to label and date a clear container of lemonade, failed to dispose of expired drink and food items, and failed to remove dented cans from resident use. Observations revealed multiple clear beverage dispensers with fluids that were either not labeled or dated, and a clear container of chicken salad that was past its use-by date. Additionally, a bottle of Kitchen bouquet browning and season sauce was found with an expired use-by date. Dented cans of refried beans, applesauce, and diced peaches were also found on the shelves in the dry storage room, which should have been removed to prevent potential foodborne illness. Interviews with the Food Services Supervisor (FSS) and a Nursing Assistant (NA-D) confirmed that the expired items and dented cans should have been removed. The Registered Dietician (RD) also confirmed that dented cans should not be used for residents and mentioned placing a Dented Can Guide in the dry storage room. A review of the facility's Food Storage policy from 2010 indicated that leftover food should be labeled, dated, and used within three days or discarded, and that all foods should be checked to ensure they are consumed by their safe use-by dates or discarded if expired.
Failure to Monitor Bowel Movements and Administer PRN Medication
Penalty
Summary
The facility failed to monitor bowel movements and provide PRN medication per the facility's elimination protocol for one resident, leading to potential constipation. The facility's Elimination Protocol required specific interventions at various stages of bowel movement absence, including offering prune juice, administering Milk of Magnesia, and giving Dulcolax suppositories. However, the facility did not consistently follow these steps for Resident 40, who had multiple gaps in bowel movement documentation and medication administration over several months. Resident 40, who has severe cognitive impairment and multiple medical diagnoses including dementia, delusional disorder, anxiety, depression, and hypertension, experienced several periods without documented bowel movements. Despite having orders for Dulcolax suppositories, Milk of Magnesia, and Miralax, there were significant lapses in administering these medications according to the protocol. For instance, no bowel medications were given between specific dates in February, March, April, and May, even though the resident's records indicated prolonged periods without bowel movements. Interviews with staff revealed inconsistencies in following the bowel management protocol. Some staff members admitted that agency staff might forget to chart bowel movements, and others indicated that they had not received recent training on bowel management. The Director of Nursing acknowledged the issue and mentioned a Performance Improvement Project (PIP) aimed at addressing it, but there was limited evidence of effective staff education or audits to ensure compliance with the protocol.
Infection Control and Hand Hygiene Deficiencies
Penalty
Summary
The facility failed to perform proper hand hygiene and infection control practices during resident care. An LPN did not perform hand hygiene between the removal of soiled gloves and the application of new gloves while caring for a resident with an indwelling foley catheter. Additionally, the LPN used an incontinence brief that had fallen on the floor, which should not have been used on the resident. Both the LPN and the DON confirmed that these actions were against the facility's hand hygiene policy and infection control standards. Another incident involved a medication aide who did not change gloves or perform hand hygiene after applying nystatin cream to a resident's abdominal folds during catheter care. The aide continued to perform other care tasks without changing gloves, which is against the facility's policy for indwelling urinary catheter care and management. The aide acknowledged the mistake, attributing it to their previous experience in surgery. A third incident was observed where a medication aide picked up a dropped medication from the medication cart with bare fingers and administered it to a resident. The aide and the DON confirmed that the medication should have been discarded and replaced to prevent contamination. These deficiencies highlight lapses in the facility's infection control practices, specifically in hand hygiene and proper handling of medical supplies and medications.
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Illustrative
What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
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Illustrative
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Nursing homes near Wahoo
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Saunders Medical Center | 3.1 mi | ★★★★★ | 2 | 0 |
| Arbor Care Center-valhaven, Llc | 15.9 mi | ★★★★★ | 29 | 0 |
| Adept Nursing & Rehab Of Ashland | 16.3 mi | ★★★★★ | 0 | 0 |
| Dunklau Gardens | 19 mi | ★★★★★ | 0 | 0 |
| Adept Nursing & Rehab Of Waverly | 19.4 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.