A list of the most recent deficiencies for Providence Kodiak Island Med Ltc. 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? |
|---|---|---|---|---|
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-11-03 | 2023-12-13 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-11-03 | 2023-12-13 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-11-03 | 2023-12-13 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-11-03 | 2023-12-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-03 | 2023-12-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-03 | 2023-12-13 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-11-03 | 2023-12-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-22 | 2023-12-01 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-09-22 | 2023-10-16 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-09-22 | 2023-10-16 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-09-22 | 2023-10-16 | N |
| Post nurse staffing information every day. | Health | 2023-09-22 | 2023-10-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-22 | 2023-10-16 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-09-22 | 2023-10-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-22 | 2023-10-16 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-09-22 | 2023-10-16 | 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 | 2022-06-09 | 2022-07-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-13 | 2022-07-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-06-09 | 2022-07-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-06-09 | 2022-07-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-13 | 2022-07-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-13 | 2022-07-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-09 | 2022-07-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-06-13 | 2022-07-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-06-13 | 2022-07-08 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-06-13 | 2022-07-08 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-06-13 | 2022-07-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-13 | 2022-07-06 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-06-09 | 2022-07-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-09 | 2022-06-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-09 | 2022-06-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-06-13 | 2022-06-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-01 | 2021-07-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-06-01 | 2021-07-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-01 | 2021-07-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-01 | 2021-07-16 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-05-21 | 2021-07-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-05-21 | 2021-07-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-05-21 | 2021-07-05 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-05-21 | 2021-07-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-21 | 2021-07-05 | N |
