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 |
