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Deficiency Records for St Andrew's at Francis Place
View the most recent health deficiencies and inspection results for St Andrew's at Francis Place. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for St Andrew's at Francis Place. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-11-19 | 2025-12-22 | Y |
| 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 | 2025-08-29 | 2025-10-06 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-02-07 | 2025-03-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-02-07 | 2025-03-19 | 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 | 2025-02-07 | 2025-03-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-07 | 2025-03-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-02-07 | 2025-03-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-07 | 2025-03-19 | 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 | 2025-02-07 | 2025-03-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-02-07 | 2025-03-19 | 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 | 2025-02-07 | 2025-03-19 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-02-07 | 2025-03-19 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2025-02-07 | 2025-03-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-02-07 | 2025-03-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-02-07 | 2025-03-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-19 | 2024-12-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-19 | 2024-12-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-30 | 2024-12-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-30 | 2024-12-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-10-30 | 2024-09-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-03-21 | 2024-04-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-21 | 2024-04-30 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-03-21 | 2024-04-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-21 | 2024-04-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-21 | 2024-04-30 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-12 | 2023-11-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-12 | 2023-11-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-12 | 2023-11-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-10-12 | 2023-11-10 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-10-12 | 2023-11-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-12 | 2023-11-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-12 | 2023-11-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-10-12 | 2023-11-10 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-10-12 | 2023-11-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-12 | 2023-11-10 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-10-12 | 2023-11-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-16 | 2023-09-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-16 | 2023-09-14 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-16 | 2023-09-14 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-07-26 | 2023-08-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-10-23 | 2020-12-01 | 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 | 2020-10-23 | 2020-12-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-10-23 | 2020-12-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-23 | 2020-12-01 | 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 | 2020-10-23 | 2020-12-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-10-23 | 2020-12-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-23 | 2020-12-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-10-23 | 2020-12-01 | N |