Deficiency Records for Providence Rehab and Hlthcare Ctratmercyfitzgerald
Updated as of March 01, 2024
A list of the most recent deficiencies for Providence Rehab and Hlthcare Ctratmercyfitzgerald. 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? |
|---|---|---|---|---|
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-05-22 | 2023-06-14 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-22 | 2023-06-14 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-17 | 2023-05-16 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-04-17 | 2023-05-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-17 | 2023-05-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-17 | 2023-05-16 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-04-17 | 2023-05-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-17 | 2023-05-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-17 | 2023-05-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-27 | 2023-05-01 | 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 | 2023-03-27 | 2023-05-01 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-03-27 | 2023-05-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-27 | 2023-05-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-27 | 2023-05-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-27 | 2023-05-01 | N |
| Provide activities to meet all resident's needs. | Health | 2023-03-27 | 2023-05-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-27 | 2023-05-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-27 | 2023-05-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-27 | 2023-05-01 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-03-27 | 2023-05-01 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2023-03-27 | 2023-05-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-27 | 2023-05-01 | 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 | 2022-12-29 | 2023-01-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-11 | 2022-11-30 | Y |
| Meet other general requirements. | Fire Safety | 2022-05-17 | 2022-06-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-17 | 2022-06-29 | 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 | 2022-05-17 | 2022-06-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-17 | 2022-06-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-17 | 2022-06-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-17 | 2022-06-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-17 | 2022-06-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-17 | 2022-06-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-06 | 2022-06-10 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-05-06 | 2022-06-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-06 | 2022-06-10 | 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 | 2022-05-06 | 2022-06-10 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-05-06 | 2022-06-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-06 | 2022-06-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-06 | 2022-06-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-06 | 2022-06-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-12 | 2021-12-07 | Y |
| 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 | 2021-06-21 | 2021-07-08 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-11-17 | 2020-12-21 | N |
| Use approved construction type or materials. | Fire Safety | 2020-11-17 | 2020-12-21 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2020-11-17 | 2020-12-21 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-11-17 | 2020-12-21 | 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 | 2020-11-17 | 2020-12-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-11-17 | 2020-12-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-11-17 | 2020-12-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-11-17 | 2020-12-21 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2020-10-23 | 2020-11-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-10-23 | 2020-11-16 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2020-10-23 | 2020-11-16 | N |
