Providence Point Healthcare Residence

In the surveyor’s words

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

• Actual harm, isolatedF689May 10, 2024

  Based on a review of clinical records, facility documents, and resident and staff interviews, it was determined that the facility failed to provide appropriate assistance to prevent falls, resulting in actual harm of a leg fracture for one of three residents reviewed (Resident R1). Findings include: Review of the facility policy Activities of Daily Living (ADL) dated May 2023, indicated the ability of each resident to meet the demands of daily living is assessed on admission and regularly thereafter. […]

• Actual harm, isolatedF600Jul 8, 2021

  Based on review of facility policies, clinical records, incident reports, employee statements and staff interview, it was determined that the facility failed to ensure that a resident was free from neglect by not providing the necessary services, which resulted in actual physical harm (laceration to the resident's head) for one of 4 residents reviewed (Resident R2). Findings include: The facility's Preventing Resident Abuse policy last reviewed on 2/11/21, indicated residents of the facility will not be subjected to physical, mental, sexual, verbal abuse, corporal punishment, or involuntary seclusion from anyone including, but not limited to staff. […]

• Actual harm, isolatedF689Jul 8, 2021

  Based on review of facility policies, clinical records, incident reports, employee statements and staff interview, it was determined that the facility failed to provide adequate supervision, implement effective fall interventions and utilize a mechanical lift as per order to promote resident safety resulting in a preventable accident and actual harm to one of four residents (Resident R2). Findings inlcuded: The facility's Mechanical Lift Protocol policy last reviewed 2/11/21, indicated that any resident who is not able to bear weight to transfer or walk will be lifted via mechanical lift. This is meant to afford comfort to the resident and reduce any injuries. Whenever a resident is unable to bear weight, the mechanical lift is utilized. This is a transfer to and from any surface. […]

• No harm, potential for more than minimal, patternF578Jun 18, 2025

  Based on review of the facility policy, clinical records and staff interview, it was determined that the facility failed to provide the opportunity to formulate an advance directive (written instructions for when the individual is incapacitated) or conduct periodic review of instructions, for four of eight residents reviewed (Residents R4, R5, R15 and R25). Findings Include: A review of the facility policy Advance Directives last reviewed 2/26/25, indicated it's the policy of this facility that each resident has the right to formulate and Advance Directive. Review of the Resident Assessment Instrument 3.0 User's Manual, effective October 2023, indicated that a Brief Interview for Mental Status (BIMS) is a screening test that aides in detecting cognitive impairment. […]

• No harm, potential for more than minimal, patternF641Jun 18, 2025

  Based on review of the Resident Assessment Instrument User's Manual (RAI) and clinical records, and staff interview, it was determined that the facility failed to make certain that comprehensive Minimum Data Set (MDS - periodic assessment of resident care needs) assessments were accurate and fully completed for six of fifteen residents (Resident R15, R17, R20, R25, R26, and R27). Findings include: The Long-Term Care Facility RAI User's Manual, which gives instructions for completing the MDS dated [DATE], indicated that Section C: Cognitive Patterns, Question C0100 Should Brief Interview for Mental Status Be Conducted? […]