A list of the most recent deficiencies for St Francois Manor. 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? |
---|---|---|---|---|
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 | 2023-01-12 | 2023-02-26 | 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 | 2023-01-12 | 2023-02-26 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-12 | 2023-02-26 | N |
Dispose of garbage and refuse properly. | Health | 2023-01-12 | 2023-02-26 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-01-12 | 2023-02-26 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-12 | 2023-02-26 | 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 | 2020-01-23 | 2020-02-28 | N |
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2020-01-23 | 2020-02-28 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-01-23 | 2020-02-28 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-23 | 2020-02-28 | 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 | 2020-01-23 | 2020-02-28 | N |
Ensure the activities program is directed by a qualified professional. | Health | 2020-01-23 | 2020-02-28 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-23 | 2020-02-28 | 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 | 2020-01-23 | 2020-02-28 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-01-23 | 2020-02-28 | N |
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2020-01-23 | 2020-02-28 | N |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2020-01-23 | 2020-02-28 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-23 | 2020-02-28 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2020-01-23 | 2020-02-28 | N |
Provide and implement an infection prevention and control program. | Health | 2020-01-23 | 2020-02-28 | N |
Implement a program that monitors antibiotic use. | Health | 2020-01-23 | 2020-02-28 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-23 | 2020-02-28 | N |
Have restrictions on the use of highly flammable decorations. | Fire Safety | 2020-01-23 | 2020-02-28 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-23 | 2020-02-28 | 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 | 2019-04-18 | 2019-05-31 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-04-18 | 2019-05-31 | N |
Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2019-04-18 | 2019-05-31 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-04-18 | 2019-05-31 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-18 | 2019-05-31 | 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 | 2019-04-18 | 2019-05-31 | N |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-04-18 | 2019-05-31 | 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 | 2019-04-18 | 2019-05-31 | N |
Have exits that are accessible at all times. | Fire Safety | 2019-04-18 | 2019-05-31 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-04-18 | 2019-05-31 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-18 | 2019-05-31 | N |