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Deficiency Records for Providence Mount St Vincent
View the most recent health deficiencies and inspection results for Providence Mount St Vincent. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Providence Mount St Vincent. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2025-08-08 | 2025-08-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-06-10 | 2025-07-18 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-06-10 | 2025-07-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-06-10 | 2025-07-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-07 | 2025-03-14 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2025-02-07 | 2025-03-14 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-01-10 | 2025-02-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-01-10 | 2025-02-19 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-01-10 | 2025-02-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-01-10 | 2025-02-19 | 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 | 2025-01-10 | 2025-02-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-10 | 2025-02-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-10 | 2025-02-19 | 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 | 2025-01-10 | 2025-02-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-01-10 | 2025-02-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-01-10 | 2025-02-19 | N |
| Provide activities to meet all resident's needs. | Health | 2025-01-10 | 2025-02-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-01-10 | 2025-02-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-01-10 | 2025-02-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-01-10 | 2025-02-19 | 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 | 2025-01-10 | 2025-02-19 | 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 | 2025-01-10 | 2025-02-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-10 | 2025-02-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-01-10 | 2025-02-19 | 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 | 2025-01-10 | 2025-02-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-10 | 2025-02-19 | N |
| 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 | 2025-01-10 | 2025-02-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-01-10 | 2025-02-19 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-01-10 | 2025-02-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-01-10 | 2025-02-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-10 | 2025-02-19 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-01-10 | 2025-02-10 | N |
| Provide emergency officials' contact information. | Fire Safety | 2025-01-10 | 2025-02-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-10 | 2025-02-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-10 | 2025-02-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-04 | 2024-06-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-14 | 2024-06-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-28 | 2024-02-07 | 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 | 2023-10-27 | 2023-12-06 | N |
| Respond appropriately to all alleged violations. | Health | 2023-10-27 | 2023-12-06 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-10-27 | 2023-12-06 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-10-27 | 2023-12-06 | 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 | 2023-10-27 | 2023-12-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-27 | 2023-12-06 | N |
| Provide activities to meet all resident's needs. | Health | 2023-10-27 | 2023-12-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-27 | 2023-12-06 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-10-27 | 2023-12-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-27 | 2023-12-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-27 | 2023-12-06 | 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 | 2023-10-27 | 2023-12-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-27 | 2023-12-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-27 | 2023-12-06 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-27 | 2023-11-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-27 | 2023-11-30 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-10-27 | 2023-11-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-10-27 | 2023-11-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-27 | 2023-11-30 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-10-27 | 2023-11-30 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-10-27 | 2023-11-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-27 | 2023-11-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-10-27 | 2023-11-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-27 | 2023-11-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-27 | 2023-11-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-27 | 2023-11-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-27 | 2023-11-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-27 | 2023-11-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-03 | 2022-07-30 | 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 (including nights and weekends) and emergencies. | Health | 2022-06-03 | 2022-07-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-03 | 2022-07-30 | 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 | 2022-06-03 | 2022-07-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-03 | 2022-07-30 | 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 | 2022-06-03 | 2022-07-30 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-06-03 | 2022-07-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-03 | 2022-07-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-03 | 2022-07-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-03 | 2022-07-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-03 | 2022-07-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-06-03 | 2022-07-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-06-03 | 2022-07-30 | N |
| Respond appropriately to all alleged violations. | Health | 2022-06-03 | 2022-07-30 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-06-03 | 2022-07-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-03 | 2022-07-30 | N |