Deficiency Records for Chi Health St Francis
Updated as of June 01, 2019
This is not the most recent data for Chi Health St Francis. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 | 2018-09-27 | 2018-11-09 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-09-27 | 2018-11-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-09-27 | 2018-11-09 | 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 | 2018-09-27 | 2018-11-09 | 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 | 2018-09-27 | 2018-11-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-27 | 2018-11-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-27 | 2018-11-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-09-27 | 2018-11-09 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-08-22 | 2017-10-21 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-08-22 | 2017-10-21 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-22 | 2017-10-21 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-08-21 | 2017-09-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-08-21 | 2017-09-29 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-07-26 | 2016-08-16 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-07-26 | 2016-08-16 | N |
