Deficiency Records for Providence Living Center
Updated as of November 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? |
---|---|---|---|---|
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 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 |
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 | 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 | 2018-07-26 | 2018-09-14 | N |
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 |
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 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-26 | 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 |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 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 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 | 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 |
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 | 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 |
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 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2018-07-26 | 2018-09-14 | N |
Provide and implement an infection prevention and control program. | Health | 2018-07-26 | 2018-09-14 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | 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 |
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 |