Deficiency Records for Providence Place at Glencroft
Updated as of March 01, 2021
This is not the most recent data for Providence Place at Glencroft. For the most recent information, click here.
A list of the most recent deficiencies for Providence Place at Glencroft. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2020-07-09 | 2020-10-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-13 | 2020-08-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-13 | 2020-08-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-13 | 2020-08-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-12-13 | 2020-08-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-07-09 | 2020-08-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-05-13 | 2020-06-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-12-13 | 2020-02-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-12-13 | 2020-02-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-13 | 2020-02-15 | 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 | 2019-12-13 | 2020-02-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-12-13 | 2020-02-15 | 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 | 2019-12-13 | 2020-02-15 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-12-13 | 2020-02-15 | 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 | 2019-12-13 | 2020-02-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-12-13 | 2020-02-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-12-13 | 2020-02-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-13 | 2020-02-15 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-12 | 2020-02-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-12 | 2020-02-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-12 | 2020-02-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-10-19 | 2018-12-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-10-19 | 2018-12-08 | N |
| Respond appropriately to all alleged violations. | Health | 2018-10-19 | 2018-12-08 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-10-19 | 2018-12-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-10-19 | 2018-12-08 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2018-10-19 | 2018-12-08 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-24 | 2018-11-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-24 | 2018-11-29 | N |
| Be properly staffed | Fire Safety | 2018-10-24 | 2018-11-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-24 | 2018-11-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-10-24 | 2018-11-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-07-21 | 2017-09-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-07-21 | 2017-09-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-07-20 | 2017-09-12 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-07-20 | 2017-09-12 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-07-20 | 2017-09-12 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-07-20 | 2017-09-12 | N |
| Keep all essential equipment working safely. | Health | 2017-07-20 | 2017-09-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-01 | Not Fixed | N |
