Providence Living Center
PROVIDENCE LIVING CENTER in TOPEKA, KS — inspection on August 25, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
intravenously (IV- administered directly into the bloodstream via a vein).R1's Nursing note dated 07/22/25 at 03:16 PM documented the lab results were sent to the provider.R1's 'Physician Progress Note dated 07/22/25 at 03:57 PM documented the provider just received the results of the UA C&S showing E. coli ESBL and would start ertapenem IV; if the IV could not remain in, staff were to send R1 to the emergency room.
The note documented the provider asked the DON to allow the provider to be the one to review and check off on lab results, and also to place a hard copy of the lab to place in the provider's inbox at the facility, and that abnormal labs be communicated to the provider through the chat system.R1's Nursing: Infection Note dated 07/25/25 at 10:48 PM noted R1 continued on ertepenam for a UTI and the resident remained confused.On 08/25/25 at 12:33 PM, R1 was in bed asleep.On 08/25/25 at 06:22 PM, Licensed Nurse (LN) G stated that lab results should populate in the system so providers can see the results from there; the nurse can see them there as well.
She stated the nurses have communication logs they can use to track labs or keep track of labs they are waiting for.
She stated the facility has an easy chat program so they can communicate with the provider through that about the labs. LN G said, regardless of the way it is communicated, if a provider is waiting for a lab, the nurses should keep an eye out for the results, even if the result did not show up in the system as a new result. LN G said if they knew a provider was waiting for a result, the nurses should check on it.
She stated the nurses have communication sheets they pass on to ensure continued care between the nurses. LN G said she would notify the provider if she obtained lab results.On 08/25/25 at 06:49 PM, Administrative Staff A stated the facility used a lab that uploaded results directly into the facility's EMR system, and the results can be viewed in the EMR.
She stated the UA C&S was uploaded to the system on 07/18/25 and would have been viewable in R1's EMR at that time.
Administrative Staff A stated that perhaps the provider may not have known to look for the results there.
She stated she was not sure if staff would have seen the C&S after the initial alert went away.
Administrative Staff A said if a lab result was still pending, staff could contact the providers through the direct message system to let them know the results.
The facility did not provide a policy for the timely reviewing and reporting of lab and/or diagnostic results.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/25/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Providence Living Center
1112 SE Republican Avenue Topeka, KS 66607
SUMMARY STATEMENT OF DEFICIENCIES
insulin was given outside of ordered parameters on 07/15/25 and 07/21/25.On 08/25/25 at 12:33 PM, R1 was in bed asleep.On 08/25/25 at 06:22 PM, Licensed Nurse (LN) G stated that if the vitals were outside the ordered parameters, staff should hold the medication and contact the provider; if the medication needed to be held longer, the provider would put it on hold. LN G stated staff should never give a medication outside of the ordered parameters.On 08/25/25 at 06:49 PM, Administrative Staff A stated if the results of vital signs were found to be outside of parameters, staff needed to notify the doctor to see if the doctor wanted to do as it would be up to the doctor to hold the medication or not.
Administrative Staff A stated if the doctor wanted staff to give a medication outside of the ordered parameters, there should be a progress note documenting the call to the doctor and the doctor's order to go ahead and give the medication.The facility did not provide a policy related to following physician-ordered parameters for medication administration.
Facility ID: