Providence Place

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Aug 12, 2025

  The facility identified a census of 35 residents. The facility had one main kitchen and one dining area. The facility failed to ensure that staff members properly tested the dishwashing sanitization chemicals. The facility also failed to ensure food items were labeled and dated when opened. These deficient practices placed residents at risk for contamination and foodborne illness.Findings included:- During the initial tour of the kitchen and dining room area on 08/10/25 at 10:05 AM, an open undated gallon of milk was in the refrigerator. During review of the dishwashing process, Dietary Staff BB stated the facility had not started using the dishwashing machine and washed the dishes by hand in the three-sink system. […]

• No harm, potential for more than minimal, widespreadF851Nov 1, 2023

  The facility had a census of 29 residents. Based on observation, interview, and record review, the facility failed to submit complete and accurate staffing information through Payroll Based Journaling (PBJ) as required. This deficient practice placed the residents at risk for unidentified and ongoing inadequate nurse staffing. Findings included: - The PBJ report provided by the Centers for Medicare & Medicaid Services (CMS) for Fiscal year (FY) 2023 Quarter 2 and Quarter 3 indicated the facility did not have licensed nurse coverage 24 hours a day, seven days a week on multiple (10) dates. […]

• No harm, potential for more than minimal, patternF689Aug 12, 2025

  The facility identified a census of 64 residents. The sample included 16, with three reviewed for accidents. Based on observation, record review, and interview, the facility failed to secure potentially hazardous cleaning chemicals in a safe, locked area and out of reach of eight cognitively impaired, independently mobile residents. The facility additionally failed to safely transfer Resident (R) 37, resulting in a non-injury fall, and ensure R9's fall interventions were followed. This placed the affected residents at risk for preventable accidents.Findings Included:- On 08/10/25 at 10:10 AM, an initial walkthrough of the facility was completed. […]

• No harm, potential for more than minimal, patternF761Aug 12, 2025

  The facility reported a census of 44 residents. The facility identified two medication rooms and four medication carts. Based on observations, record reviews, and interviews, the facility failed to secure one of two medication storage rooms. This deficient practice placed the residents at risk for unnecessary medication and administration errors.Findings Included:- On 08/10/25 at 10:05 AM, an initial walkthrough of the facility was completed. An inspection of the 100 Hall Team Office medication storage room revealed that the door was not secured. An inspection of the medication storage room revealed shelves of stock medication, enteral feeding solutions, and medical supplies. […]

• No harm, potential for more than minimal, patternF880Aug 12, 2025

  The facility identified a census of 35 residents. The facility identified seven residents on Enhanced Barrier Precautions (EBP - infection control interventions designed to reduce transmission of resistant organisms that employ targeted gown and glove use during high contact care). Based on record reviews, observations, and interviews, the facility failed to ensure trash was stored and contained properly. The facility further failed to ensure trash was not left on top of the Personal Protective Equipment (PPE) cart, and the clean linen door was not propped open. The facility further failed to ensure soap and paper towels were available in the same room, and gloves were available in the dirty laundry area, and all staff knew where the hand washing sink was in the laundry room. […]