Deficiency Records for St Francis Manor

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Updated as of May 01, 2024

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Deficiency Records for St Francis Manor

A list of the most recent deficiencies for St Francis Manor. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for St Francis Manor. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-07-13 2023-08-13 Y
Conduct testing and exercise requirements. Fire Safety 2023-07-19 2023-07-27 N
Provide a written emergency evacuation plan. Fire Safety 2023-07-19 2023-07-27 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-07-19 2023-07-27 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-07-19 2023-07-26 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-07-19 2023-07-24 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-11-01 2021-12-01 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2021-11-01 2021-12-01 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2021-10-28 2021-11-26 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-10-28 2021-11-26 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2021-11-01 2021-11-19 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-11-01 2021-11-09 N
Use approved construction type or materials. Fire Safety 2021-11-01 2021-11-02 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2021-11-01 2021-11-02 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-11-01 2021-11-02 N
Provide a written emergency evacuation plan. Fire Safety 2021-11-01 2021-11-02 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2020-09-01 2020-09-18 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2020-09-01 2020-09-01 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2020-09-01 2020-09-01 N

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