Adviniacare at Provincetown

In the surveyor’s words

From the most serious findings on record at Adviniacare at Provincetown, in the surveyor’s own words.

• Actual harm, isolatedF656Feb 7, 2024

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), whose Plan of Care indicated that he/she required the use of a hoyer lift (mechanical floor lift system used to transfer a medically dependent person from point A to point B), physical assistance of two staff members for transfers and was assessed by nursing at high risk for falls, the Facility failed to ensure nursing staff consistently implemented and followed interventions identified in his/her Plan of Care while meeting his/her transfer needs. […]

• Actual harm, isolatedF689Feb 7, 2024

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who was assessed by nursing to be at high risk for falls, and required the use of a hoyer lift (mechanical floor lift system used to transfer a medically dependent person from point A to point B) and physical assistance of two staff members for transfers, the Facility failed to ensure he/she was provided with the required level of staff assistance in an effort to prevent an accident resulting in an injury. On 01/13/24, Certified Nurse Aide (CNA) #1 transferred Resident #1 with a hoyer lift out of bed into a reclining wheelchair, by himself, without another staff member present to assist him. […]

• Actual harm, isolatedF686Dec 16, 2021

  Based on record review, observation, and staff interview, the facility failed to ensure that staff provided care consistent with professional standards of practice to prevent pressure ulcers from developing for one Resident (#23), out of a total sample of 13 residents. Findings include: Resident #23 was admitted to the facility in March 2021 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the Minimum Data Set (MDS) assessment, dated 3/21/21, indicated that Resident #23 was totally dependent for bed mobility, transfers, and personal hygiene, was always incontinent of bowel and bladder, and was at risk for developing pressure ulcers. […]

• No harm, potential for more than minimal, widespreadF585Apr 2, 2026

  Based on observation, interviews, and document review, the facility failed to ensure that residents were fully aware of the grievance process. Specifically, for 13 of 13 residents attending the resident group meeting during the survey, the facility failed to ensure their grievance policy included notification that residents and their representatives have the right to file grievances anonymously, should they choose not to alert a staff member of their concern(s), and failed to include the contact information of the grievance official with whom a grievance can be filed, that is, business address (mailing and email) and business phone number, and the contact information of independent entities with whom grievances may be filed, that is, the pertinent State agency, Quality Improvement… […]

• No harm, potential for more than minimal, widespreadF801Feb 15, 2024

  Based on staff interviews, the facility failed to designate a person who met the minimum qualifications to serve as the Food Service Director (FSD), when the facility did not employ a full-time dietitian. Findings include: During an interview on 2/14/24 at 10:26 A.M., the Food Service Manager (FSM) said she was not certified but was in the process and had been in her role as an FSM for almost two years at the facility. She said she was not a certified FSM or certified dietary manager, was not a nationally certified food service manager, and did not have her associates as an FSM. She said the facility's registered dietitian (RD) worked part-time at the facility. […]