Providence Child Center

In the surveyor’s words

From the most serious findings on record at Providence Child Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jan 2, 2024

  Based on interview and record review it was determined the facility failed to put services in place to eliminate the risk of elopement for 1 of 1 sampled resident reviewed for elopement. Resident 1 was identified by the facility to have eloped from the building on 12/17/23 at approximately 4:00 PM and was not found until 9:00 PM. This failure was determined to be an immediate jeopardy situation because the facility failed to identify and put in place services to prevent Resident 1's elopement risk which placed residents at risk of harm or death. Immediate Jeopardy situation began on 12/19/23. Findings include: Resident 1 admitted to the facility on [DATE] with diagnosis of Dementia. […]

• No harm, potential for more than minimal, widespreadF732Jan 30, 2023

  Based on observation, interview and record review it was determined the facility failed to accurately document and display the DCSDR (Direct Care Staff Daily Report) in a prominent place readily accessible to residents and visitors for 33 of 33 days reviewed for staffing and for 2 of 2 units. This placed residents and visitors at risk for being uninformed of available staff and hours worked by facility staff. Findings include: Random observations from 1/23/23 through 1/26/23 revealed the DCSDR forms on the unit downstairs were posted in a hallway adjacent to the entrance not visible to the public and the form was sideways. The DCSDR forms were blank or inaccurate and missing census, current staff and hours worked. […]

• No harm, potential for more than minimal, patternF565Jan 30, 2023

  Based on interview it was determined the facility failed to ensure residents were provided with the opportunity to develop a Resident Council for 1 of 2 residential units (the adult unit) reviewed for Resident Council. This placed residents at risk for a lack of participation in group discussions regarding facility policies, procedures and resident rights. Findings include: The adult unit of the faciity had a census of eleven. Four of the eleven residents resided on the unit longer than 6 months. On 1/23/23 at 10:36 AM Staff 3 (DNS) stated the adult residential unit did not have a Resident Council. On 1/27/23 at 3:27 PM Staff 1 (Administrator) stated the adult unit did not have a Resident Council.

• No harm, potential for more than minimal, patternF583Jan 30, 2023

  Based on observation, interview and record review it was determined the facility failed to ensure residents' personal information was not visible to the public for 1 of 2 resident care units. This placed residents at risk for unprotected personal heath information. Findings include: Observations from 1/23/23 to 1/27/23 revealed the presence of a large dry erase board in the main area of the adult care unit visible to all staff, residents and visitors. The board had documentation of room number and initials of each resident with care notes such as transfer status, appointments, hospice, dialysis, and behaviors. […]

• No harm, potential for more than minimal, patternF885Aug 25, 2022

  Based on interview and record review it was determined the facility failed to inform residents and their representatives and families by 5:00 PM the next calendar day following the occurrence of a suspected or confirmed COVID 19 infection, failed to include mitigating actions taken by the facility to prevent or reduce the risk of transmission and failed to provide cumulative updates to residents, their representatives and families regarding COVID 19 status in the facility for 1 of 2 units reviewed for COVID 19 infection notification. This placed residents, their representatives and families at risk for not being informed of the facility's COVID 19 infection status. […]