A list of the most recent deficiencies for Providence Living Center. 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? |
---|---|---|---|---|
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-09-12 | 2022-10-03 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-12 | 2022-10-03 | 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 | 2022-09-12 | 2022-10-03 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-12 | 2022-10-03 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-09-12 | 2022-10-03 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-09-12 | 2022-10-03 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-09-12 | 2022-10-03 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-12 | 2022-10-03 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-09-12 | 2022-10-03 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-12 | 2022-10-03 | 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 | 2022-08-10 | 2022-09-22 | 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 necessary and PRN use is limited. | Health | 2022-08-10 | 2022-09-22 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-10 | 2022-09-22 | N |
Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-08-10 | 2022-09-22 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-09 | 2022-04-22 | Y |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-02-09 | 2022-02-18 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-25 | 2021-11-12 | Y |
Include a process for Emergency Preparedness collaboration. | Fire Safety | 2021-06-08 | 2021-07-16 | N |
Conduct testing and exercise requirements. | Fire Safety | 2021-06-08 | 2021-07-16 | N |
Use approved construction type or materials. | Fire Safety | 2021-06-08 | 2021-07-16 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-08 | 2021-07-16 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-06-08 | 2021-07-16 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-08 | 2021-07-16 | 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 | 2021-06-08 | 2021-07-16 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-08 | 2021-07-16 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-08 | 2021-07-16 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-06-08 | 2021-07-16 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-08 | 2021-07-16 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-08 | 2021-07-16 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2021-06-08 | 2021-07-16 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-08 | 2021-07-16 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-08 | 2021-07-16 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-06-08 | 2021-07-16 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-08 | 2021-07-16 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-08 | 2021-07-16 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-22 | 2021-05-04 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-13 | 2019-07-12 | 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 | 2019-06-13 | 2019-07-12 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-06-13 | 2019-07-12 | 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 necessary and PRN use is limited. | Health | 2019-06-13 | 2019-07-12 | N |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-06-13 | 2019-07-12 | N |
Establish emergency prep training and testing. | Fire Safety | 2019-06-04 | 2019-07-10 | N |
Establish staff and initial training requirements. | Fire Safety | 2019-06-04 | 2019-07-10 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-06-04 | 2019-07-10 | N |
Meet other general requirements. | Fire Safety | 2019-06-04 | 2019-07-10 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-06-04 | 2019-07-10 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-06-04 | 2019-07-10 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-04 | 2019-07-10 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-04 | 2019-07-10 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-06-04 | 2019-07-10 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-06-04 | 2019-07-10 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-04 | 2019-07-10 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-04 | 2019-07-10 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-06-04 | 2019-07-10 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-06-04 | 2019-07-10 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-06-04 | 2019-07-10 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-04 | 2019-07-10 | N |