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Deficiency Records for Providence Living Center

A list of the most recent deficiencies for Providence Living Center. 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 Living Center. 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?
Address patient/client population and determine types of services needed. Fire Safety 2024-03-13 2024-03-29 N
Provide a means of sharing information on occupancy/needs. Fire Safety 2024-03-13 2024-03-29 N
Provide family notifications of emergency plan. Fire Safety 2024-03-13 2024-03-29 N
Use approved construction type or materials. Fire Safety 2024-03-13 2024-03-29 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2024-03-13 2024-03-29 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-03-13 2024-03-29 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-03-13 2024-03-29 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-03-13 2024-03-29 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-03-13 2024-03-29 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-03-13 2024-03-29 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-03-13 2024-03-29 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-03-13 2024-03-29 N
Have proper medical gas storage and administration areas. Fire Safety 2024-03-13 2024-03-29 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2024-02-13 2024-03-08 N
Provide enough food/fluids to maintain a resident's health. Health 2024-02-13 2024-03-08 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2024-02-13 2024-03-08 N
Provide care or services that was trauma informed and/or culturally competent. Health 2024-02-13 2024-03-08 N
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 2024-02-13 2024-03-08 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2024-02-13 2024-03-08 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2024-02-13 2024-03-08 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2022-09-12 2022-10-03 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-09-12 2022-10-03 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2022-09-12 2022-10-03 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-09-12 2022-10-03 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-09-12 2022-10-03 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-09-12 2022-10-03 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-09-12 2022-10-03 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-09-12 2022-10-03 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-09-12 2022-10-03 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-09-12 2022-10-03 N
Ensure staff are vaccinated for COVID-19 Health 2022-09-08 2022-10-01 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2022-08-10 2022-09-22 N
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 limited. Health 2022-08-10 2022-09-22 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-08-10 2022-09-22 N
Provide or get specialized rehabilitative services as required for a resident. Health 2022-08-10 2022-09-22 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-02-09 2022-04-22 Y
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2022-02-09 2022-02-18 Y
Include a process for Emergency Preparedness collaboration. Fire Safety 2021-06-08 2021-07-16 N
Conduct testing and exercise requirements. Fire Safety 2021-06-08 2021-07-16 N
Use approved construction type or materials. Fire Safety 2021-06-08 2021-07-16 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-06-08 2021-07-16 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2021-06-08 2021-07-16 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2021-06-08 2021-07-16 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2021-06-08 2021-07-16 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-06-08 2021-07-16 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-06-08 2021-07-16 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2021-06-08 2021-07-16 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-06-08 2021-07-16 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-06-08 2021-07-16 N
Provide a written emergency evacuation plan. Fire Safety 2021-06-08 2021-07-16 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-06-08 2021-07-16 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-06-08 2021-07-16 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2021-06-08 2021-07-16 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-06-08 2021-07-16 N
Have proper medical gas storage and administration areas. Fire Safety 2021-06-08 2021-07-16 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-04-22 2021-05-04 N

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