CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Providence Health and Rehab Center
View the most recent health deficiencies and inspection results for Providence Health and Rehab Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Providence Health and Rehab Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that residents are free from significant medication errors. | Health | 2026-02-20 | 2026-03-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-01-06 | 2026-01-27 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2026-01-06 | 2026-01-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-02-20 | 2026-01-27 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2026-01-06 | 2026-01-27 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2025-08-22 | 2025-10-17 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-08-22 | 2025-10-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-08-22 | 2025-10-17 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2025-08-22 | 2025-10-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-22 | 2025-10-17 | 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 | 2025-08-22 | 2025-10-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-08-22 | 2025-10-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-08-22 | 2025-10-07 | N |
| Respond appropriately to all alleged violations. | Health | 2025-08-22 | 2025-10-07 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-08-22 | 2025-10-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-08-22 | 2025-10-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-22 | 2025-10-07 | N |
| Provide activities to meet all resident's needs. | Health | 2025-08-22 | 2025-10-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-22 | 2025-10-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-22 | 2025-10-07 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-08-22 | 2025-10-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-08-22 | 2025-10-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-08-22 | 2025-10-07 | 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 | 2025-08-22 | 2025-10-07 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-08-22 | 2025-10-07 | 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 | 2025-08-22 | 2025-10-07 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2025-08-22 | 2025-10-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-22 | 2025-10-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-08-22 | 2025-10-07 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-08-22 | 2025-10-07 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2025-08-22 | 2025-10-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-08-22 | 2025-10-07 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-08-22 | 2025-10-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-06-18 | 2025-07-31 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-06-18 | 2025-07-31 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-06-18 | 2025-07-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-16 | 2025-06-05 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-05-16 | 2025-06-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-09-13 | 2024-10-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-13 | 2024-10-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-13 | 2024-10-14 | 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 | 2024-09-13 | 2024-10-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-09-13 | 2024-10-14 | 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 | 2024-09-13 | 2024-10-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-09-13 | 2024-10-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-09-13 | 2024-10-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-09-13 | 2024-10-14 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2024-09-13 | 2024-10-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-09-13 | 2024-10-14 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-09-13 | 2024-10-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-13 | 2024-10-14 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-09-25 | 2024-10-14 | Y |
| Implement a program that monitors antibiotic use. | Health | 2024-09-13 | 2024-10-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-13 | 2024-10-14 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-09-13 | 2024-10-14 | 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 | 2024-09-13 | 2024-10-14 | 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 | 2024-09-13 | 2024-10-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-09-13 | 2024-10-14 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-09-13 | 2024-10-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-13 | 2024-09-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-13 | 2024-09-27 | 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 | 2024-05-29 | 2024-07-09 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-05-29 | 2024-07-09 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-29 | 2024-07-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-29 | 2024-07-09 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-29 | 2024-07-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-29 | 2024-07-09 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-29 | 2024-07-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-25 | 2024-06-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-25 | 2024-05-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-25 | 2024-03-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-21 | 2024-03-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-21 | 2024-03-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-06 | 2024-02-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-18 | 2024-02-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-18 | 2024-02-14 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-01-18 | 2024-02-14 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-18 | 2024-02-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-18 | 2024-02-14 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-05 | 2023-11-10 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-10-05 | 2023-11-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-05 | 2023-11-10 | N |
| Dispose of garbage and refuse properly. | Health | 2023-10-05 | 2023-11-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-05 | 2023-11-10 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-10-05 | 2023-11-10 | 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 | 2023-10-05 | 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 | 2023-10-05 | 2023-11-10 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-10-05 | 2023-11-10 | 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 | 2023-10-05 | 2023-11-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-10-05 | 2023-11-10 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-10-05 | 2023-11-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-05 | 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 | 2023-10-05 | 2023-11-10 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-10-05 | 2023-11-10 | N |
| Respond appropriately to all alleged violations. | Health | 2023-10-05 | 2023-11-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-05 | 2023-11-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-05 | 2023-11-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-05 | 2023-11-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-05 | 2023-11-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-05 | 2023-11-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-05 | 2023-11-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-10-05 | 2023-11-10 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-10-05 | 2023-11-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-03 | 2023-09-01 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-05-04 | 2023-06-06 | 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 | 2023-05-04 | 2023-06-06 | Y |