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Deficiency Records for Providence Holy Cross Med Ctr D/p Snf
View the most recent health deficiencies and inspection results for Providence Holy Cross Med Ctr D/p Snf. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Providence Holy Cross Med Ctr D/p Snf. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Meet requirements for the installation and maintenance of medical gas and medical vacuum systems. | Fire Safety | 2025-12-14 | 2026-02-02 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-12-11 | 2026-01-14 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-03-27 | 2025-04-26 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-03-27 | 2025-04-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-03-27 | 2025-04-26 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-03-27 | 2025-04-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-03-27 | 2025-04-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-03-27 | 2025-04-26 | 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 | 2025-03-27 | 2025-04-26 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-03-27 | 2025-04-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-03-27 | 2025-04-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-03-27 | 2025-04-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-03-27 | 2025-04-26 | 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 | 2025-03-27 | 2025-04-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-27 | 2025-04-26 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-03-27 | 2025-04-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-03-27 | 2025-04-26 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-03-27 | 2025-04-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-03-27 | 2025-04-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-03-27 | 2025-04-13 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-04-14 | 2024-05-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-14 | 2024-05-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-14 | 2024-05-06 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-04-14 | 2024-05-06 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-04-14 | 2024-05-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-14 | 2024-05-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-14 | 2024-05-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-14 | 2024-05-06 | 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 | 2024-04-14 | 2024-05-06 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-04-14 | 2024-05-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-14 | 2024-05-06 | 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 | 2024-04-14 | 2024-05-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-14 | 2024-05-06 | 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 | 2024-04-14 | 2024-05-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-14 | 2024-05-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-14 | 2024-05-06 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-04-14 | 2024-05-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-29 | 2023-10-15 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-03-26 | 2023-04-20 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-03-26 | 2023-04-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-26 | 2023-04-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-26 | 2023-04-20 | 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 | 2023-03-26 | 2023-04-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-26 | 2023-04-20 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-03-26 | 2023-04-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-26 | 2023-04-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-26 | 2023-04-20 | 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 | 2023-03-26 | 2023-04-20 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-03-26 | 2023-04-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-26 | 2023-04-20 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-03-26 | 2023-04-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-03-26 | 2023-04-17 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2023-03-26 | 2023-04-17 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-03-26 | 2023-04-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-26 | 2023-04-17 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-03-26 | 2023-04-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-26 | 2023-04-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-26 | 2023-04-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-26 | 2023-04-17 | N |
| Ensure gas cylinders are properly stored. | Fire Safety | 2023-03-26 | 2023-04-17 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-03-26 | 2023-04-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-26 | 2023-04-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-26 | 2023-04-17 | N |