Providence Holy Cross Med Ctr D/P SNF

In the surveyor’s words

From the most serious findings on record at Providence Holy Cross Med Ctr D/P SNF, in the surveyor’s own words.

• Immediate jeopardy, widespreadF921Dec 20, 2021

  Based on observations, interviews, and record review, the facility failed to provide a safe and sanitary environment for 40 of 40 residents, staff, and visitors by not maintaining the roof in good repair. This deficient practice resulted to roof leaks of rainwater from the ceilings at the Nursing Station, North Corridor, South Corridor, East Corridor, West Corridor, Main entrance lobby, Activity Room, and Resident Room 3146. The leaking roof had the potential to cause serious harm, injury, or death to residents, staff, and visitors. An Immediate Jeopardy (IJ, a situation in which entity noncompliance has placed the health and safety of recipients in its care at risk for serious injury, serious harm, serious impairment or death) was called on December 14, 2021, at 6:01 p.m. […]

• Immediate jeopardy, patternF695Dec 11, 2025

  Based on observation, interview and record review the facility failed to ensure 24 of 24 sampled residents (Resident 1, Resident 2, Resident 3, Resident 4, Resident 5, Resident 6, Resident 7, Resident 8, Resident 9, Resident 10, Resident 11, Resident 12, Resident 13,Resident 14, Resident 15, Resident 16, Resident 17, Resident 18, Resident 19, Resident 20, Resident 21, Resident 22, Resident 23, and Resident 24) who were on mechanical ventilators (a life-support machine that helps or takes over breathing for people who can't breathe sufficiently on their own, delivering oxygen) was free of contaminants (any physical or chemical substances) when the facility returned the oxygen gas line system back on for service and not had a certified medical gas verifier conduct testing to ensure oxygen is… […]

• Actual harm, isolatedF580Apr 14, 2024

  Based on interview and record review, the facility failed to notify the physician of one of one sampled resident's (Resident 37) who continued to have blood in the urine (hematuria) with presence of clots. Resident 37, who had an indwelling urinary catheter (IUC, a hollow flexible tube inserted in the bladder [the organ that stores urine] to drain urine) and was on blood thinner medication, was having hematuria from 1/12/2024 at 11:40 a.m. to 1/15/2024 and the attending physician (Physician 1) was not informed. […]

• Actual harm, isolatedF690Apr 14, 2024

  Based on interview and record review, the facility failed to ensure one of one sampled resident (Resident 37), who had an indwelling urinary catheter (IUC, a hollow flexible tube inserted in the bladder [the organ that stores urine] to drain urine), was on blood thinner medication, and had recent hematuria (blood in the urine) with presence of clots, received care and services to prevent complications including continued hematuria, urinary retention (inability to urinate) and/or obstruction (blockage), urinary tract infection (UTI - infection that happens when germs enter the urethra [the tube that conducts urine from the bladder to the outside of the body], and infect the urinary tract). […]

• No harm, potential for more than minimal, widespreadF835Mar 27, 2025

  Based on interview and record review, the facility failed to fully develop and implement an antibiotic (antimicrobial, medicine that inhibits the growth of or destroys microorganisms) stewardship program (ASP- a coordinated program that promotes the appropriate use of drugs used to treat infections, including antibiotics as a part of its overall Infection Prevention and Control Program (IPCP) for one of six sampled residents (Resident 3) reviewed under Infection Control facility task by: a. Failing to establish protocols to identify signs and symptoms of infections among residents to assess whether they met evidence-based national standard criteria for initiating antibiotic treatment b. […]