A list of the most recent deficiencies for Chi Health St Francis. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-01 | 2024-03-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-01 | 2024-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-01 | 2024-03-15 | 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 | 2024-01-29 | 2024-02-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-29 | 2024-02-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-03-13 | 2023-04-20 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2023-03-13 | 2023-04-20 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-03-14 | 2023-04-20 | 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 | 2021-11-15 | 2021-12-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-15 | 2021-12-07 | N |
