Deficiency Records for Providence Living Center
Updated as of June 01, 2021
This is not the most recent data for Providence Living Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 properly protected cooking facilities. | Fire Safety | 2020-09-09 | 2020-09-22 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-09-09 | 2020-09-22 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-09-09 | 2020-09-22 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-13 | 2019-07-12 | Y |
| 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 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-06-13 | 2019-07-12 | Y |
| 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 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-06-13 | 2019-07-12 | Y |
| 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 other general requirements that are deficient. | 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 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-10-29 | 2018-11-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-10-29 | 2018-10-22 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-07-26 | 2018-09-14 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-07-26 | 2018-09-14 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-07-26 | 2018-09-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-07-26 | 2018-09-14 | 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 | 2018-07-26 | 2018-09-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-26 | 2018-09-14 | 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 | 2018-07-26 | 2018-09-14 | 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 | 2018-07-26 | 2018-09-14 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2018-07-26 | 2018-09-14 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-07-26 | 2018-09-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-26 | 2018-09-14 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-07-26 | 2018-09-14 | 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 | 2018-07-26 | 2018-09-14 | 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 | 2018-07-26 | 2018-09-14 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-07-26 | 2018-09-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-26 | 2018-09-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-26 | 2018-09-14 | Y |
| 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 | 2018-07-26 | 2018-09-14 | Y |
| 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 | 2018-07-26 | 2018-09-14 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-07-26 | 2018-09-14 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2018-07-26 | 2018-09-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-07-26 | 2018-09-14 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-07-26 | 2018-09-14 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-12-04 | 2018-02-09 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2017-12-04 | 2018-02-09 | 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 | 2017-12-04 | 2018-02-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-12-04 | 2018-02-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-12-04 | 2018-02-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-12-04 | 2018-02-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-12-04 | 2018-02-09 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-11-29 | 2017-02-10 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2016-11-29 | 2017-02-10 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-11-29 | 2016-12-29 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2016-11-29 | 2016-12-29 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-11-29 | 2016-12-29 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-11-29 | 2016-12-29 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-11-29 | 2016-12-29 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-11-29 | 2016-12-29 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-11-29 | 2016-12-29 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-11-29 | 2016-12-29 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-11-29 | 2016-12-29 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-11-29 | 2016-12-29 | N |
| Approved construction type or materials. | Fire Safety | 2016-06-14 | 2016-07-14 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-06-14 | 2016-07-14 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-06-14 | 2016-07-14 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-06-14 | 2016-07-14 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-06-14 | 2016-07-14 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2016-06-14 | 2016-07-14 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-06-14 | 2016-07-14 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-06-14 | 2016-07-14 | N |
| Portable fire extinguishers. | Fire Safety | 2016-06-14 | 2016-07-14 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-06-14 | 2016-07-14 | N |
| Restrictions on the use of flammable curtains. | Fire Safety | 2016-06-14 | 2016-07-14 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-06-14 | 2016-07-14 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-06-14 | 2016-07-14 | N |
