Deficiency Records for Providence Seward Mountain Haven
Updated as of June 01, 2020
This is not the most recent data for Providence Seward Mountain Haven. For the most recent information, click here.
A list of the most recent deficiencies for Providence Seward Mountain Haven. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-08 | 2020-01-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-11-08 | 2020-01-16 | Y |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-10-02 | 2018-11-22 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-10-02 | 2018-11-22 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-10-02 | 2018-11-22 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-10-02 | 2018-11-22 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-10-02 | 2018-11-22 | N |
| Establish methods for sharing information. | Fire Safety | 2018-10-02 | 2018-11-22 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-10-02 | 2018-11-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-02 | 2018-11-22 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-10-02 | 2018-11-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-09 | 2018-11-22 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-10-09 | 2018-11-22 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2018-10-09 | 2018-11-22 | 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 | 2018-10-09 | 2018-11-22 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2018-10-09 | 2018-11-22 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-10-09 | 2018-11-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-09 | 2018-11-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-09 | 2018-11-22 | N |
| Provide activities to meet all resident's needs. | Health | 2018-10-09 | 2018-11-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-09 | 2018-11-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-09 | 2018-11-22 | 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 | 2018-10-09 | 2018-11-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-10-09 | 2018-11-22 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-10-09 | 2018-11-22 | 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 | 2018-10-09 | 2018-11-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-09 | 2018-11-22 | 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 | 2018-10-09 | 2018-11-22 | 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 ne | Health | 2018-10-09 | 2018-11-22 | 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 | 2018-10-09 | 2018-11-22 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-10-09 | 2018-11-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-09 | 2018-11-22 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-10-09 | 2018-11-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-09 | 2018-11-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-10-09 | 2018-11-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-09 | 2018-11-22 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-10-02 | 2018-11-21 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-09-14 | 2017-11-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-09-14 | 2017-10-29 | N |
| Upon the death of a resident, convey the resident?s personal funds and an accounting of those funds to the appropriate party. | Health | 2017-09-14 | 2017-10-29 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-09-14 | 2017-10-29 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-09-14 | 2017-10-29 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-09-14 | 2017-10-29 | N |
| Offer other nutritional food to each resident who will not eat the food served. | Health | 2017-09-14 | 2017-10-29 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-09-14 | 2017-10-29 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-09-13 | 2016-10-30 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-09-13 | 2016-10-30 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-09-13 | 2016-10-30 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-09-13 | 2016-10-30 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-09-13 | 2016-10-30 | N |
| Try to resolve each resident's complaints quickly. | Health | 2016-09-15 | 2016-10-30 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-09-15 | 2016-10-30 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-09-15 | 2016-10-30 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-09-15 | 2016-10-30 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-09-15 | 2016-10-30 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-09-15 | 2016-10-30 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-09-15 | 2016-10-30 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-09-15 | 2016-10-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-09-15 | 2016-10-30 | N |
