A list of the most recent deficiencies for Franciscan Villa. 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? |
|---|---|---|---|---|
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-07-20 | 2022-08-18 | 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 | 2022-07-20 | 2022-08-18 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-07-27 | 2022-08-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-27 | 2022-08-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-07-27 | 2022-08-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-20 | 2022-08-17 | 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 | 2022-07-20 | 2022-08-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-20 | 2022-08-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-20 | 2022-08-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-07-27 | 2022-08-17 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-07-27 | 2022-08-17 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-07-27 | 2022-08-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-27 | 2022-08-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-27 | 2022-08-10 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-06-26 | 2019-08-20 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-06-26 | 2019-08-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-26 | 2019-08-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-26 | 2019-08-09 | N |
| Have an externally vented heating system. | Fire Safety | 2019-06-26 | 2019-08-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-06-26 | 2019-07-29 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-06-26 | 2019-07-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-26 | 2019-07-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-26 | 2019-07-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-18 | 2018-04-30 | N |
