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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 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-25 | 2021-11-12 | 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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