Deficiency Records for Franciscan Health Center
Updated as of September 01, 2020
This is not the most recent data for Franciscan Health Center. For the most recent information, click here.
A list of the most recent deficiencies for Franciscan Health 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 approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-25 | 2020-04-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-25 | 2020-04-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-25 | 2020-04-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2020-02-27 | 2020-04-10 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2020-02-27 | 2020-04-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-27 | 2020-04-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-02-27 | 2020-04-10 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-27 | 2020-04-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-27 | 2020-03-20 | Y |
| Provide family notifications of emergency plan. | Fire Safety | 2019-04-18 | 2019-05-27 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2019-04-18 | 2019-05-27 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-04-18 | 2019-05-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-18 | 2019-05-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-18 | 2019-05-27 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2019-04-18 | 2019-05-27 | 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 | 2019-04-18 | 2019-05-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-18 | 2019-05-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-18 | 2019-05-27 | 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 | 2019-04-18 | 2019-05-27 | N |
| Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | Health | 2019-04-18 | 2019-05-27 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-04-18 | 2019-05-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-03-15 | 2018-04-23 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-03-15 | 2018-04-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-15 | 2018-04-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-15 | 2018-04-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-03-15 | 2018-04-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-02-14 | 2018-03-13 | Y |
