Deficiency Records for Jan Frances Care Center
Updated as of November 01, 2022
This is not the most recent data for Jan Frances Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Jan Frances Care Center. 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? |
|---|---|---|---|---|
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-04-19 | 2022-06-16 | Y |
| 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 | 2022-04-19 | 2022-05-31 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-19 | 2022-05-31 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-04-19 | 2022-05-01 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2022-04-19 | 2022-05-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-09 | 2021-09-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-09 | 2021-09-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-09 | 2021-09-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-03-24 | 2021-03-25 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-12-04 | 2020-01-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-04 | 2020-01-15 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-12-04 | 2020-01-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-12-04 | 2020-01-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-12-04 | 2020-01-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-04 | 2020-01-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-11-07 | 2018-12-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-07 | 2018-12-28 | 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 | 2018-11-07 | 2018-12-28 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-11-08 | 2018-12-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-08 | 2018-12-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-05 | 2018-01-10 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2017-12-05 | 2018-01-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2017-12-05 | 2018-01-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2017-12-05 | 2018-01-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2017-12-05 | 2018-01-10 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2017-11-30 | 2018-01-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2017-11-30 | 2018-01-10 | N |
| Establish emergency prep training and testing. | Fire Safety | 2017-11-30 | 2018-01-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-11-30 | 2018-01-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-05 | 2017-11-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-11-08 | Not Fixed | N |
