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Deficiency Records for Franciscan Health Center
View the most recent health deficiencies and inspection results for Franciscan Health Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Franciscan Health Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2026-02-27 | 2026-04-28 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2026-02-27 | 2026-04-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-02-27 | 2026-04-28 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2026-02-27 | 2026-04-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2026-02-27 | 2026-04-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-02-27 | 2026-04-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-02-27 | 2026-04-28 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2026-02-27 | 2026-04-28 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2026-02-27 | 2026-04-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-02-27 | 2026-04-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-02-27 | 2026-04-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-27 | 2026-04-28 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2026-02-27 | 2026-04-28 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2026-02-27 | 2026-04-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2026-02-27 | 2026-04-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-02-27 | 2026-04-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-02-27 | 2026-04-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-02-27 | 2026-04-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2026-02-27 | 2026-04-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-01-29 | 2026-02-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-12-12 | 2025-01-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-12-12 | 2025-01-31 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-12-12 | 2025-01-31 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-12-12 | 2025-01-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-12-12 | 2025-01-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-12-12 | 2025-01-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-12-12 | 2025-01-31 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2024-12-12 | 2025-01-31 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-12-12 | 2025-01-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-12-12 | 2025-01-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-12-12 | 2025-01-31 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-12-12 | 2025-01-31 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-12-12 | 2025-01-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-12-12 | 2025-01-31 | 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 | 2024-12-12 | 2025-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-12 | 2025-01-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-09 | 2024-09-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-09 | 2024-09-06 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-08-09 | 2024-09-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-19 | 2024-04-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-03-19 | 2024-04-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-05 | 2023-11-22 | 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 necessary and PRN use is limited. | Health | 2023-10-05 | 2023-11-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-10-05 | 2023-11-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-05 | 2023-11-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-05 | 2023-11-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-05 | 2023-11-22 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-10-05 | 2023-11-22 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2023-10-05 | 2023-11-22 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-10-05 | 2023-11-22 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-10-05 | 2023-11-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-05 | 2023-11-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-05 | 2023-11-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-05 | 2023-11-20 | N |