Providence Little Comp of Mary Subacute Care Ctr

Reasonably accommodate the needs and preferences of each resident.

Rule F0558. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 23, 2026.

PASARR screening for Mental disorders or Intellectual Disabilities

Rule F0645. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 23, 2026.

Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 23, 2026.

Provide care and assistance to perform activities of daily living for any resident who is unable.

Rule F0677. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 23, 2026.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Rule F0684. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 23, 2026.

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Rule F0740. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 23, 2026.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 23, 2026.

Dispose of garbage and refuse properly.

Rule F0814. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 23, 2026.

Provide and implement an infection prevention and control program.

Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 23, 2026.

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Rule F0883. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 23, 2026.

Provide and implement an infection prevention and control program.

Rule F0880. D: no actual harm, potential for more than minimal harm. From a complaint.

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Rule F0609. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 27, 2024.

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Rule F0758. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 27, 2024.

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Rule F0803. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 27, 2024.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 27, 2024.

Dispose of garbage and refuse properly.

Rule F0814. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 27, 2024.

Provide and implement an infection prevention and control program.

Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 27, 2024.

Implement a program that monitors antibiotic use.

Rule F0881. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 27, 2024.

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Rule F0604. K: immediate jeopardy to health or safety. Correction date, as CMS recorded it: Jan 12, 2024.

Reasonably accommodate the needs and preferences of each resident.

Rule F0558. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 12, 2024.

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Rule F0640. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 12, 2024.

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Rule F0693. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 12, 2024.

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Rule F0694. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 12, 2024.

Provide safe and appropriate respiratory care for a resident when needed.

Rule F0695. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 12, 2024.

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Rule F0700. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 12, 2024.

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident’s well being.

Rule F0726. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 12, 2024.

Ensure medication error rates are not 5 percent or greater.

Rule F0759. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 12, 2024.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 12, 2024.

Have a plan that describes the process for conducting QAPI and QAA activities.

Rule F0865. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 12, 2024.

Provide and implement an infection prevention and control program.

Rule F0880. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 12, 2024.