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Deficiency Records for Villa St Francis Catholic Care Center Inc

View the most recent health deficiencies and inspection results for Villa St Francis Catholic Care Center Inc. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Villa St Francis Catholic Care Center Inc. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Install corridor and hallway doors that block smoke. Fire Safety 2024-12-31 2025-03-14 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-12-31 2025-03-14 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-12-31 2025-03-14 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2024-12-31 2025-03-14 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-12-31 2025-03-14 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-12-31 2025-03-14 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-12-31 2025-03-14 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-12-31 2025-02-12 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-12-31 2025-02-12 N
Provide and implement an infection prevention and control program. Health 2024-12-31 2025-01-25 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-12-31 2025-01-25 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2024-12-31 2025-01-25 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-12-31 2025-01-25 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2024-12-31 2025-01-25 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-12-31 2025-01-25 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-12-31 2025-01-25 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-12-31 2025-01-25 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-12-31 2025-01-25 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-07-27 2023-09-04 Y
Have simulated fire drills held at unexpected times. Fire Safety 2023-05-23 2023-07-12 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2023-05-23 2023-07-12 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-05-23 2023-07-12 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2023-05-23 2023-07-12 N
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. Fire Safety 2023-05-23 2023-07-12 N
Use approved construction type or materials. Fire Safety 2023-05-23 2023-07-12 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-05-23 2023-07-12 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2023-05-23 2023-07-12 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-05-23 2023-07-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-05-23 2023-07-12 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-05-23 2023-07-12 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2023-05-23 2023-07-12 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-05-23 2023-07-12 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-05-23 2023-07-12 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-05-23 2023-06-26 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-05-23 2023-06-26 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-05-23 2023-06-26 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2023-05-23 2023-06-26 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2023-05-23 2023-06-26 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2023-05-23 2023-06-26 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2023-05-23 2023-06-26 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-05-23 2023-06-26 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-09-27 2021-12-08 N
Have proper medical gas storage and administration areas. Fire Safety 2021-09-27 2021-12-08 N
Use approved construction type or materials. Fire Safety 2021-09-27 2021-12-08 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2021-09-27 2021-12-08 N
Install proper backup exit lighting. Fire Safety 2021-09-27 2021-12-08 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2021-09-27 2021-12-08 N
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Fire Safety 2021-09-27 2021-12-08 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-09-27 2021-12-08 N
Install an approved automatic sprinkler system. Fire Safety 2021-09-27 2021-12-08 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-09-27 2021-12-08 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-09-27 2021-12-08 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-09-27 2021-12-08 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-09-27 2021-12-08 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-09-27 2021-12-08 N
Have restrictions on the use of portable space heaters. Fire Safety 2021-09-27 2021-12-08 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2021-09-27 2021-12-08 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-09-27 2021-12-08 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-09-27 2021-12-08 N
Ensure proper storage of liquid oxygen. Fire Safety 2021-09-27 2021-12-08 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2021-09-27 2021-10-26 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-09-27 2021-10-26 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-09-27 2021-10-26 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2021-09-27 2021-10-26 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2021-09-27 2021-10-26 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2021-09-27 2021-10-26 N
Provide and implement an infection prevention and control program. Health 2021-09-27 2021-10-26 N

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