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Deficiency Records for St Francis Home
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.
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? |
|---|---|---|---|---|
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-07-17 | 2024-08-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-17 | 2024-08-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-17 | 2024-08-09 | N |
| 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 |
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