Deficiency Records for The Gardens of St. Francis
Updated as of June 01, 2021
This is not the most recent data for The Gardens of St. Francis. For the most recent information, click here.
A list of the most recent deficiencies for The Gardens of 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 a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-11-17 | 2020-12-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-11-17 | 2020-12-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-11-17 | 2020-12-16 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-02-21 | 2020-03-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-21 | 2020-03-25 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2020-02-21 | 2020-03-25 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2020-02-20 | 2020-03-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-20 | 2020-03-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-20 | 2020-03-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-20 | 2020-03-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-02-20 | 2020-03-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-08-29 | 2019-09-13 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-12-29 | 2019-01-11 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-12-29 | 2019-01-11 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-12-29 | 2019-01-11 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-12-29 | 2019-01-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-12-29 | 2019-01-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-12-29 | 2019-01-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-12-29 | 2019-01-11 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2018-12-28 | 2019-01-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-03-05 | 2018-04-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-05 | 2018-04-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-03-05 | 2018-04-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-03-05 | 2018-04-27 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-03-05 | 2018-04-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-03-05 | 2018-04-27 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2018-03-08 | 2018-04-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-08 | 2018-04-27 | N |
