Deficiency Records for Providence Benedictine Nursing Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Providence Benedictine Nursing 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? |
|---|---|---|---|---|
| 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 | 2023-09-22 | 2023-11-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-22 | 2023-11-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-22 | 2023-11-10 | N |
| Provide appropriate foot care. | Health | 2023-09-22 | 2023-11-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-09-22 | 2023-11-10 | 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 | 2023-09-22 | 2023-11-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-22 | 2023-11-10 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-09-22 | 2023-11-10 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-27 | 2023-11-10 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2023-09-27 | 2023-11-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-27 | 2023-11-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-27 | 2023-11-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-27 | 2023-11-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-27 | 2023-11-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-27 | 2023-11-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-27 | 2023-11-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-27 | 2023-11-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-27 | 2023-11-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-22 | 2023-09-22 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-07-28 | 2022-09-21 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-07-28 | 2022-09-21 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-07-28 | 2022-09-21 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-07-28 | 2022-09-21 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-07-28 | 2022-09-21 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-07-28 | 2022-09-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-07-28 | 2022-09-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-07-28 | 2022-09-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-28 | 2022-09-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-28 | 2022-09-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-28 | 2022-09-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-07-28 | 2022-09-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-28 | 2022-09-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-07-28 | 2022-09-21 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-08-02 | 2022-09-16 | 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 | 2022-08-02 | 2022-09-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-02 | 2022-09-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-02 | 2022-09-16 | 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 | 2022-08-02 | 2022-09-16 | N |
| Provide or obtain dental services for each resident. | Health | 2022-08-02 | 2022-09-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-02 | 2022-09-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-02 | 2022-09-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-02 | 2022-09-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-02 | 2022-09-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-02 | 2022-09-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-02 | 2022-09-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-04 | 2021-06-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-04 | 2021-06-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-05-04 | 2021-06-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-04 | 2021-05-24 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-12-19 | 2019-01-31 | 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 | 2018-12-19 | 2019-01-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-12-19 | 2019-01-31 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-12-19 | 2019-01-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-12-19 | 2019-01-31 | N |
| Respond appropriately to all alleged violations. | Health | 2018-12-19 | 2019-01-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-12-19 | 2019-01-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-12-19 | 2019-01-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-19 | 2019-01-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-19 | 2019-01-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-12-19 | 2019-01-31 | 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 | 2018-12-19 | 2019-01-31 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2018-12-19 | 2019-01-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-19 | 2019-01-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-12-11 | 2019-01-25 | 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 | 2018-12-11 | 2019-01-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-11 | 2019-01-25 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-12-11 | 2019-01-25 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-12-11 | 2019-01-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-11 | 2019-01-25 | N |
