Deficiency Records for St Francis Rehabilitation and Nursing Center

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Updated as of July 01, 2019

This is not the most recent data for St Francis Rehabilitation and Nursing Center. For the most recent information, click here.

A list of the most recent deficiencies for St Francis Rehabilitation and Nursing Center. 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?
Have simulated fire drills held at unexpected times. Fire Safety 2018-08-08 2018-08-31 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2018-07-24 2018-08-24 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-07-24 2018-08-24 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2018-07-24 2018-08-24 N
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 ne Health 2018-07-24 2018-08-24 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-07-24 2018-08-24 N
Ensure each resident receives an accurate assessment. Health 2018-07-24 2018-08-24 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2018-07-24 2018-08-24 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2018-07-24 2018-08-24 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2018-07-24 2018-08-24 Y
Have a correctly designed non-healthcare occupancy area in a health care facility. Fire Safety 2017-06-01 2017-06-29 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2017-04-28 2017-06-12 N
Provide care by qualified persons according to each resident's written plan of care. Health 2017-04-28 2017-06-12 N
Keep accurate, complete and organized clinical records on each resident that meet professional standards. Health 2017-04-28 2017-06-12 N
An approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2016-06-06 2016-07-21 N
Automatic sprinkler systems that have been maintained in working order. Fire Safety 2016-06-06 2016-07-21 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2016-04-28 2016-06-03 N
Ensure each resident receives an accurate assessment by a qualified health professional. Health 2016-04-28 2016-06-03 N
Keep accurate, complete and organized clinical records on each resident that meet professional standards. Health 2016-04-28 2016-06-03 N
Protect each resident from all abuse, physical punishment, and involuntary separation from others. Health 2016-04-28 2016-03-25 N