A list of the most recent deficiencies for Adviniacare at Provincetown. 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? |
---|---|---|---|---|
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-07 | 2024-01-24 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-07 | 2024-01-24 | Y |
Implement emergency and standby power systems. | Fire Safety | 2021-12-21 | 2022-01-17 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-12-21 | 2022-01-17 | N |
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-12-16 | 2022-01-14 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-21 | 2022-01-10 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-12-21 | 2022-01-09 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-21 | 2022-01-09 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-12-21 | 2022-01-09 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-12-21 | 2022-01-09 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-16 | 2022-01-07 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-16 | 2022-01-07 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-12-16 | 2022-01-07 | 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 | 2021-12-16 | 2022-01-07 | 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 | 2021-12-16 | 2022-01-07 | N |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-12-16 | 2022-01-07 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-18 | 2019-08-30 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-18 | 2019-08-23 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-18 | 2019-08-23 | N |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-05-16 | 2019-07-01 | 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 | 2019-05-16 | 2019-07-01 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-05-16 | 2019-07-01 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-05-16 | 2019-07-01 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-05-16 | 2019-07-01 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-16 | 2019-07-01 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-16 | 2019-07-01 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-05-16 | 2019-07-01 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-16 | 2019-07-01 | 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 | 2019-05-16 | 2019-07-01 | 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 | 2019-05-16 | 2019-07-01 | N |
Provide and implement an infection prevention and control program. | Health | 2019-05-16 | 2019-07-01 | N |
Conduct testing and exercise requirements. | Fire Safety | 2018-03-26 | 2018-05-31 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-03-26 | 2018-05-25 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-03-26 | 2018-05-25 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-03-07 | 2018-05-17 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-03-07 | 2018-05-17 | N |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-03-07 | 2018-05-17 | N |
Provide and implement an infection prevention and control program. | Health | 2018-03-07 | 2018-05-17 | N |
Implement a program that monitors antibiotic use. | Health | 2018-03-07 | 2018-05-17 | N |
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2018-03-07 | 2018-05-17 | N |
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2018-03-07 | 2018-05-17 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-03-26 | 2018-04-30 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-03-26 | 2018-04-30 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-03-26 | 2018-04-30 | N |