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Deficiency Records for Pawtucket Falls Healthcare Center
A list of the most recent deficiencies for Pawtucket Falls Healthcare 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 Pawtucket Falls Healthcare 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? |
|---|---|---|---|---|
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-08-16 | 2024-09-09 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-08-16 | 2024-09-09 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-16 | 2024-09-09 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-08-16 | 2024-09-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-16 | 2024-09-09 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-08-16 | 2024-09-09 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-05-13 | 2024-06-24 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-05-13 | 2024-06-24 | Y |
| 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 | 2024-03-26 | 2024-05-06 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-12-13 | 2023-12-28 | 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 | 2023-12-13 | 2023-12-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-13 | 2023-12-28 | N |
| 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 | 2023-12-13 | 2023-12-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-13 | 2023-12-28 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-12-13 | 2023-12-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-12-13 | 2023-12-28 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-12-13 | 2023-12-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-14 | 2023-12-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-12-14 | 2023-12-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-14 | 2023-12-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-14 | 2023-12-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-14 | 2023-12-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-01 | 2023-06-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-12 | 2023-05-12 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-04-05 | 2023-04-25 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-04-05 | 2023-04-25 | Y |
| 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 | 2023-02-28 | 2023-03-23 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-02-28 | 2023-03-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-10 | 2023-03-16 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-03-06 | 2023-03-15 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-02-28 | 2023-03-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-28 | 2023-03-15 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-28 | 2023-03-15 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-02-28 | 2023-03-15 | Y |
| 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 | 2023-02-28 | 2023-03-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-06 | 2023-03-15 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-01-06 | 2023-03-15 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-06 | 2023-03-15 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-01-06 | 2023-03-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-06 | 2023-03-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-23 | 2023-03-15 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-01-23 | 2023-02-28 | N |
| 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 | 2023-01-23 | 2023-02-28 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-01-23 | 2023-02-28 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-01-23 | 2023-02-28 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-01-23 | 2023-02-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-23 | 2023-02-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-23 | 2023-02-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-23 | 2023-02-28 | N |
| Provide appropriate foot care. | Health | 2023-01-23 | 2023-02-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-23 | 2023-02-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-23 | 2023-02-28 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-01-23 | 2023-02-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-01-23 | 2023-02-28 | 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 | 2023-01-23 | 2023-02-28 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-01-23 | 2023-02-28 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-01-23 | 2023-02-28 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-01-23 | 2023-02-28 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-01-23 | 2023-02-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-18 | 2023-02-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-18 | 2023-02-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-18 | 2023-02-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-01-18 | 2023-02-13 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-01-18 | 2023-02-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-09 | 2022-11-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-09 | 2022-11-23 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-09 | 2022-11-23 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-10-21 | 2022-11-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-21 | 2022-11-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-10-05 | 2022-10-24 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-29 | 2022-10-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-21 | 2022-09-29 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-08 | 2022-06-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-08 | 2022-04-26 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-04-08 | 2022-04-26 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-03-25 | 2022-04-24 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-25 | 2022-04-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-25 | 2022-04-24 | Y |
| 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 | 2021-11-18 | 2021-12-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-18 | 2021-12-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-18 | 2021-12-08 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-11-18 | 2021-12-08 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-11-18 | 2021-12-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-11-18 | 2021-12-08 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-11-18 | 2021-12-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-18 | 2021-12-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-18 | 2021-12-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-18 | 2021-12-08 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-11-17 | 2021-12-08 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-11-17 | 2021-12-08 | N |
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