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Deficiency Records for Providence Healthcare

A list of the most recent deficiencies for Providence Healthcare. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Providence Healthcare. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-02-25 2024-03-29 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-02-25 2024-03-29 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-02-24 2024-03-29 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2022-09-01 2022-11-04 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-09-01 2022-11-04 Y
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. Health 2022-09-01 2022-11-04 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-09-01 2022-11-04 Y
Respond appropriately to all alleged violations. Health 2022-09-01 2022-11-04 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-09-01 2022-11-04 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-09-01 2022-11-04 Y
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2022-09-01 2022-11-04 Y
Provide and implement an infection prevention and control program. Health 2022-09-01 2022-11-04 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-11-16 2022-01-07 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2021-11-16 2022-01-07 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-11-16 2022-01-07 Y
Provide enough food/fluids to maintain a resident's health. Health 2021-11-16 2022-01-07 Y
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2021-11-16 2022-01-07 Y
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2021-11-16 2022-01-07 Y
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2021-11-16 2022-01-07 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2021-11-16 2022-01-07 Y
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Health 2021-11-16 2022-01-07 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2021-11-16 2022-01-07 Y
Provide and implement an infection prevention and control program. Health 2021-11-16 2022-01-07 Y
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2019-05-16 2019-06-30 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2019-05-16 2019-06-30 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-05-16 2019-06-30 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-05-16 2019-06-30 N
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. Health 2019-05-16 2019-06-30 N
Provide and implement an infection prevention and control program. Health 2019-05-16 2019-06-30 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-05-14 2019-06-07 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2019-05-14 2019-06-07 N

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