Deficiency Records for Providence Park Rehabilitation and Skilled Nursing
Updated as of April 01, 2024
A list of the most recent deficiencies for Providence Park Rehabilitation and Skilled Nursing. 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? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-24 | 2023-11-17 | Y |
| 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 | 2023-10-24 | 2023-11-17 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-10-24 | 2023-11-17 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-24 | 2023-11-17 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-18 | 2023-08-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-26 | 2023-07-11 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-26 | 2023-07-10 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-06-26 | 2023-07-04 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-26 | 2023-06-28 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-06-15 | 2023-06-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-05 | 2023-04-28 | 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 | 2023-04-05 | 2023-04-28 | 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 | 2023-04-05 | 2023-04-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-05 | 2023-04-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-05 | 2023-04-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-05 | 2023-04-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-10 | 2023-02-11 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-02-10 | 2023-02-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-15 | 2022-09-19 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-09-15 | 2022-09-19 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-03-09 | 2022-03-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-09 | 2022-03-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-08 | 2022-03-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-08 | 2022-03-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-29 | 2021-08-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-02 | 2021-05-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-02 | 2021-05-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-04-02 | 2021-05-07 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-02 | 2021-05-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-01 | 2021-05-07 | N |
