A list of the most recent deficiencies for Providence Mother Joseph Care. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-21 | 2023-07-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-21 | 2023-07-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-21 | 2023-07-14 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-06-21 | 2023-07-14 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-06-21 | 2023-07-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-23 | 2023-07-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-23 | 2023-07-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-06-23 | 2023-07-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-23 | 2023-07-07 | Y |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-04-20 | 2022-06-17 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-04-20 | 2022-06-10 | N |
| Establish methods for sharing information. | Fire Safety | 2022-04-20 | 2022-06-10 | N |
| Post nurse staffing information every day. | Health | 2022-04-21 | 2022-06-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-21 | 2022-06-03 | 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 | 2022-04-20 | 2022-05-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-20 | 2022-05-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-20 | 2022-05-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-29 | 2021-10-20 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-10-30 | 2019-11-25 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-10-30 | 2019-11-25 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-10-30 | 2019-11-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-10-30 | 2019-11-25 | N |
| Use approved construction type or materials. | Fire Safety | 2019-10-30 | 2019-11-25 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-10-23 | 2019-11-22 | 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 | 2019-10-23 | 2019-11-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-23 | 2019-11-22 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-10-23 | 2019-11-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-23 | 2019-11-22 | 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 | 2019-10-23 | 2019-11-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-23 | 2019-11-22 | N |
| Provide activities to meet all resident's needs. | Health | 2019-10-23 | 2019-11-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-23 | 2019-11-22 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-10-23 | 2019-11-22 | N |
| 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 | 2019-10-23 | 2019-11-22 | 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 | 2019-10-23 | 2019-11-22 | 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 | 2019-10-23 | 2019-11-22 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-10-23 | 2019-11-22 | N |
| Post nurse staffing information every day. | Health | 2019-10-23 | 2019-11-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-23 | 2019-11-22 | 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 | 2019-10-23 | 2019-11-22 | 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 | 2019-10-23 | 2019-11-22 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-10-23 | 2019-11-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-23 | 2019-11-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-10-23 | 2019-11-22 | N |
| Meet other general requirements. | Fire Safety | 2019-10-30 | 2019-11-19 | N |
| Meet the requirements of an integrated health system. | Fire Safety | 2019-10-30 | 2019-11-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-30 | 2019-11-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-10-30 | 2019-11-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-30 | 2019-10-31 | N |
