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Deficiency Records for Providence Little Comp of Mary Subacute Care Ctr
View the most recent health deficiencies and inspection results for Providence Little Comp of Mary Subacute Care Ctr. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Providence Little Comp of Mary Subacute Care Ctr. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2026-01-30 | 2026-02-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-01-30 | 2026-02-23 | N |
| Dispose of garbage and refuse properly. | Health | 2026-01-30 | 2026-02-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2026-01-30 | 2026-02-23 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2026-01-30 | 2026-02-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-01-30 | 2026-02-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-01-30 | 2026-02-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-01-30 | 2026-02-23 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2026-01-30 | 2026-02-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-01-30 | 2026-02-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-01-30 | 2026-02-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-12-06 | 2024-12-27 | 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 | 2024-12-06 | 2024-12-27 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-12-06 | 2024-12-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-06 | 2024-12-27 | N |
| Dispose of garbage and refuse properly. | Health | 2024-12-06 | 2024-12-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-06 | 2024-12-27 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-12-06 | 2024-12-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-03 | 2024-03-07 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-14 | 2024-01-12 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-12-14 | 2024-01-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-14 | 2024-01-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-14 | 2024-01-12 | 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 | 2023-12-14 | 2024-01-12 | 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 | 2023-12-14 | 2024-01-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-14 | 2024-01-12 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-12-14 | 2024-01-12 | 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 | 2023-12-14 | 2024-01-12 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-12-14 | 2024-01-12 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-12-14 | 2024-01-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-14 | 2024-01-12 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-12-14 | 2024-01-10 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-12-14 | 2024-01-10 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-12-14 | 2024-01-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-16 | Not Fixed | Y |