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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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