Deficiency Records for Providence Little Co of Mary Transitional Care Ctr
Updated as of March 01, 2024
A list of the most recent deficiencies for Providence Little Co of Mary Transitional Care Ctr. 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? |
|---|---|---|---|---|
| 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 | 2022-09-09 | 2022-10-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-24 | 2019-06-24 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-05-24 | 2019-06-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-24 | 2019-06-24 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-05-25 | 2019-06-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-25 | 2019-06-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-05-15 | 2018-06-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-05-15 | 2018-06-19 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-05-15 | 2018-06-19 | 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 | 2018-05-15 | 2018-06-19 | 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 | 2018-05-15 | 2018-06-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-15 | 2018-06-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-15 | 2018-06-19 | 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 | 2018-05-15 | 2018-06-19 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2018-05-15 | 2018-06-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-15 | 2018-06-19 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-05-16 | 2018-06-19 | N |
| Construct fire resistant interior walls. | Fire Safety | 2018-05-16 | 2018-06-19 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-05-16 | 2018-06-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-05-16 | 2018-06-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-16 | 2018-06-19 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-05-16 | 2018-06-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-16 | 2018-06-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-05-16 | 2018-06-19 | N |
| Ensure new upholstered furniture and mattresses meet char length and heat release criteria. | Fire Safety | 2018-05-16 | 2018-06-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-16 | 2018-06-19 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2018-05-16 | 2018-06-19 | N |
| Maintain comfortable and safe temperature levels. | Health | 2017-05-21 | 2017-06-20 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-21 | 2017-06-20 | N |
| Meet requirements for the installation and maintenance of medical gas and medical vacuum systems. | Fire Safety | 2017-06-01 | 2017-06-19 | N |
