Providence Living Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Jun 17, 2026

  Based on observation, record review, and interviews, the facility failed to provide adequate supervision for Resident (R) 1, who took medications to prevent alcohol relapses and was at risk for self-harm, to prevent an elopement and the staff did not identify the resident was missing for over nine hours. On 06/14/2026 at approximately 04:18 AM staff observed R1 wandering in the facility and this was the last time staff knew R1's whereabouts. On 06/14/2026 at approximately 02:00 PM, staff identified R1 was not in her room, and it appeared she had not been there all day. […]

• Immediate jeopardy, isolatedF761Mar 10, 2026

  The facility identified a census of 69 residents. The sample included three residents. Based on record review, observation, and interview, the facility failed to ensure medications were secured and inaccessible to residents. On 02/11/26 at 07:55 PM, the pharmacy delivered three bags of medications to the facility, which included one white bag, one blue bag, and one red bag. The red bag contained 90 tablets (tabs) of alprazolam (a medication used to treat anxiety, panic disorders, and depression) and 90 tabs of lorazepam (a medication used to treat anxiety, insomnia, and seizure disorders). Licensed Nurse (LN) G took possession of the medications and left them in the nurse's station without securing them. At 09:55 PM, Resident (R) 1 and R2 identified the nurse's station was unmanned. […]

• Actual harm, isolatedF692Feb 13, 2024

  The facility had a census of 76 residents. The sample included 18 residents with four reviewed for nutrition. Based on observation, record review, and interview, the facility failed to implement Registered Dietician (RD) interventions for Resident (R) 27's significant weight loss, resulting in a 12.61 % loss over three months. This also placed the resident at risk for continued weight loss. Findings Included: - R27's Electronic Medical Record (EMR) documented R27 had diagnoses of chronic pain syndrome, congestive heart failure (CHF-a condition with low heart output and the body becomes congested with fluid), cerebral infarction (stroke - sudden death of brain cells due to lack of oxygen caused by impaired blood flow to the brain by blockage or rupture of an artery to the brain) without… […]

• No harm, potential for more than minimal, widespreadF725Dec 18, 2025

  The facility identified a census of 67 residents. The sample included 17 residents. Based on interview and record review, the facility failed to ensure adequate staffing levels on the weekends to meet the needs of the residents. Findings included: - A review of the Centers for Medicare and Medicaid Services (CMS) Payroll-Based Journal (PBJ) for Fiscal Year (FY) 2025 Quarter 1, FY 2025 Quarter 2, FY 2025 Quarter 3, and FY 2025 Quarter 4 revealed the facility triggered for excessively low weekend staffing. Review of the Facility Assessment dated 01/01/25 documented the specific needs of each resident would be identified and adjusted as necessary. This included staffing needs for each shift, such as day, evening, night, and weekend. […]

• No harm, potential for more than minimal, widespreadF801Dec 18, 2025

  The facility had a census of 67 residents. Based on observation, interview, and record review the facility failed to provide the services of a full-time certified dietary manager for the residents who resided in the facility and received their meals from the kitchen. Findings included:- On 12/15/25 at 12:35 PM, observation revealed Dietary Staff BB cleaning up the kitchen after meal service. On 12/16/25 at 11:30 AM, Dietary Staff BB stated she had recently completed a certified dietary management course and would be scheduling her test soon. Dietary Staff BB was unable to provide proof of completion of the course upon request. On 12/18/25 at 01:35 PM, Administrative Staff A verified the facility should have a certified dietary manager. […]