A list of the most recent deficiencies for St Francis Home. 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? |
|---|---|---|---|---|
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2023-08-08 | 2023-08-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-08 | 2023-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-08 | 2023-08-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-08 | 2023-08-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-07 | 2023-08-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-07 | 2023-08-31 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-08-07 | 2023-08-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-22 | 2022-12-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-11-22 | 2022-12-07 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-28 | 2022-11-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-28 | 2022-11-11 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2022-09-28 | 2022-11-11 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-09-09 | 2022-10-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-09 | 2022-09-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-10 | 2022-06-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-05-10 | 2022-06-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-05-13 | 2021-05-26 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-07-17 | 2019-08-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-17 | 2019-08-26 | 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 | 2019-07-17 | 2019-08-19 | 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 | 2019-07-17 | 2019-08-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-15 | 2019-08-09 | N |
| 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 | 2019-07-17 | 2019-07-24 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-07-17 | 2019-07-22 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-07-15 | 2019-07-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-15 | 2019-07-17 | N |
