Providence Little Comp of Mary Subacute Care CTR

In the surveyor’s words

From the most serious findings on record at Providence Little Comp of Mary Subacute Care CTR, in the surveyor’s own words.

• Immediate jeopardy, patternF604Dec 14, 2023

  41699 45269 Based on observation, interview and record review, the facility failed to ensure six of seven sampled residents (Residents 39, 45, 20, 11, 68 and 27) were free of unnecessary physical restraints (devices that limit a patient's movement) by failing to: 1. Ensure six of seven residents (Residents 39, 45, 20, 11, 68 and 27) were free from physical restraints. 2. Follow the Physical Restraint Elimination Assessment (assessment used by the facility for restrained residents to determine whether they are candidates for restraint reduction, score of 0-20 is a priority candidate, 21-35 good candidate, and 35 and above is a poor candidate) for Residents 39, 45, 20, 11, 68 and 27, monthly to assess for the need of physical restraint continued used. 3. […]

• No harm, potential for more than minimal, widespreadF812Dec 14, 2023

  Based on observation, interview, and record review, the facility failed to ensure food was stored, prepared, distributed, and served in a sanitary manner to prevent foodborne illness (also called food poisoning caused by eating contaminated food or eating food not kept at appropriate temperatures) by failing to: 1. Label multiple canned foods, meat products, and vegetables with opened date and received date. 2.Ensure Cook 2 did not repeatedly placed the plastic serving spoon in the soiled area and used it to transfer food to the plate. These deficient practices had the potential to result in foodborne illnesses and can lead to other serious medical complications and hospitalization for residents residing in the facility. […]

• No harm, potential for more than minimal, patternF677Jan 30, 2026

  Based on observation, interview, and record review, the facility failed to ensure dependent residents received timely and appropriate Activities of Daily Living (ADL-activities such as bathing, dressing and toileting a person performs daily) care for three of six sampled residents (Resident 42, Resident 51 and Resident 72). The facility failed to:1.Provide incontinent care to Resident 51 and Resident 72 in a timely manner and not leave the residents with soiled incontinence briefs (absorbent, disposable underwear with fastening tabs on both sides) for an extended time.2. […]

• No harm, potential for more than minimal, patternF812Jan 30, 2026

  Based on observation and interview the facility failed to provide a safe and sanitary environment in the kitchen for all residents by failing to:a. Ensure cooking oil, powdered brown gravy, cream of wheat, pancake mix and corn starch had open dates.b. Ensure disposable food containers were stored in a sanitary manner.c. Ensure the utility carts in the clean area were free from crumbs, dried food particles and grime (dirt).d. Ensure open aluminum cans were not stored at the workstation.These failures had the potential to expose residents to food-borne illnesses (any illness resulting from ingestion of food contaminated with bacteria, viruses, or parasites) and put residents at risk for cross contamination (unintentional transfer of harmful bacteria from one object to… […]

• No harm, potential for more than minimal, patternF814Jan 30, 2026

  Based on observation and interview, the facility failed to ensure the trash receptable was covered, not overflowing with trash and disposed of properly outside the kitchen.This failure had the potential to attract pest/rodents, pose health risk and cause infection control violations.Findings:During an observation on 1/26/26 at 9:12 am outside of the kitchen, there was trash stored in two trash cans that were not covered and one was overflowing with trash.During an interview on 1/29/26 at 9:15 am with the Dietary Supervisor (DS), the DS stated there were two trash cans that were not covered and one was overflowing with trash. […]