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Deficiency Records for Providence Place
A list of the most recent deficiencies for Providence Place. 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 Place. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-04-02 | 2024-05-13 | 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 | 2024-04-02 | 2024-05-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-04-02 | 2024-05-13 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-04-02 | 2024-05-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-02 | 2024-05-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-04-02 | 2024-05-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-04-02 | 2024-05-13 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-04-04 | 2024-05-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-04 | 2024-05-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-04 | 2024-05-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-04 | 2024-05-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-04 | 2024-05-12 | 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 | 2024-04-04 | 2024-05-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-04-04 | 2024-05-12 | 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 | 2024-04-04 | 2024-05-12 | 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 | 2024-04-04 | 2024-05-12 | N |
| Provide or obtain dental services for each resident. | Health | 2024-04-04 | 2024-05-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-04-04 | 2024-05-12 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-04-04 | 2024-05-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-04 | 2024-05-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-16 | 2023-12-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-30 | 2023-12-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-30 | 2023-12-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-30 | 2023-12-01 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-02 | 2023-10-25 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-08-03 | 2023-08-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-19 | 2023-05-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-10 | 2023-03-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-10 | 2023-03-31 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-02-10 | 2023-03-31 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-10 | 2023-03-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-02-10 | 2023-03-31 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-02-10 | 2023-03-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-10 | 2023-03-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-10 | 2023-03-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-10 | 2023-03-31 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-10 | 2023-03-31 | N |
| 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 | 2023-02-10 | 2023-03-31 | 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 | 2023-02-10 | 2023-03-31 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-02-10 | 2023-03-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-07 | 2023-03-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-07 | 2023-03-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-07 | 2023-03-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-07 | 2023-03-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-07 | 2023-03-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-07 | 2023-03-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-28 | 2022-07-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-28 | 2022-07-31 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-05-31 | 2022-06-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-13 | 2022-04-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-25 | 2021-07-26 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-06-25 | 2021-07-26 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-06-25 | 2021-07-26 | N |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2021-06-25 | 2021-07-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-25 | 2021-07-26 | 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 | 2021-06-25 | 2021-07-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-25 | 2021-07-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-25 | 2021-07-26 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-06-25 | 2021-07-26 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-06-25 | 2021-07-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-25 | 2021-07-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-25 | 2021-07-26 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-06-25 | 2021-07-26 | 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 | 2021-06-22 | 2021-07-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-06-22 | 2021-07-26 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-06-22 | 2021-07-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-22 | 2021-07-26 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-06-22 | 2021-07-26 | N |
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