A list of the most recent deficiencies for Providence Place Ltcu. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-13 | 2024-03-01 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-12-13 | 2024-03-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-13 | 2024-03-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-13 | 2024-03-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-12-13 | 2024-03-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-13 | 2024-03-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-13 | 2024-03-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-01 | 2023-11-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-01 | 2023-11-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-11-01 | 2023-11-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-01 | 2023-11-20 | 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 | 2023-11-01 | 2023-11-20 | 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 | 2023-11-01 | 2023-11-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-01 | 2023-11-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-11-01 | 2023-11-20 | 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 | 2023-11-01 | 2023-11-20 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-11-01 | 2023-11-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-16 | 2022-06-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-16 | 2022-06-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-05-16 | 2022-06-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-16 | 2022-06-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-16 | 2022-06-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-16 | 2022-06-02 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-30 | 2022-04-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-30 | 2022-04-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-30 | 2022-04-29 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-30 | 2022-04-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-30 | 2022-04-29 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2022-03-30 | 2022-04-29 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-30 | 2022-04-29 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-03-30 | 2022-04-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-30 | 2022-04-29 | Y |
| 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 | 2021-02-04 | 2021-02-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-02-04 | 2021-02-19 | 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 | 2021-02-04 | 2021-02-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-02-04 | 2021-02-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-04 | 2021-02-19 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-03-05 | 2020-03-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-05 | 2020-03-17 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2020-03-05 | 2020-03-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-05 | 2020-03-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-03-05 | 2020-03-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-03-05 | 2020-03-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-05 | 2020-03-17 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-19 | Not Fixed | N |
