Deficiency Records for Franciscan Health Center
Updated as of June 01, 2022
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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-10-29 | 2021-12-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-29 | 2021-12-17 | 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 | 2021-10-29 | 2021-12-17 | 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 | 2021-10-29 | 2021-12-17 | 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 | 2021-10-29 | 2021-12-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-10-29 | 2021-12-17 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-10-29 | 2021-12-17 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-10-29 | 2021-12-17 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-10-29 | 2021-12-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-10-27 | 2021-12-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-27 | 2021-12-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-10-27 | 2021-12-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-27 | 2021-12-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-10-27 | 2021-12-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-19 | 2021-06-27 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-05-19 | 2021-06-27 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-05-19 | 2021-06-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-19 | 2021-06-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-19 | 2021-06-27 | Y |
| 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 | 2021-05-19 | 2021-06-27 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-12-09 | 2021-01-22 | Y |
| 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 |
| 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 |
| 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 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 |
| 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 |
