Deficiency Records for St Francis Center For Rehabilitation and Healthcare

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Updated as of March 01, 2024

A list of the most recent deficiencies for St Francis Center For Rehabilitation and Healthcare. 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 2023-12-01 2024-01-09 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-12-01 2024-01-09 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-12-01 2024-01-09 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2023-12-01 2024-01-09 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2023-12-01 2024-01-09 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-12-01 2024-01-09 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2023-12-01 2024-01-09 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-03-23 2023-04-18 Y
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2023-02-02 2023-03-28 N
Provide enough food/fluids to maintain a resident's health. Health 2023-02-02 2023-03-28 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 2023-02-02 2023-03-28 N
Implement a program that monitors antibiotic use. Health 2023-02-02 2023-03-28 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2022-12-07 2023-01-04 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-04-15 2022-05-04 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-04-15 2022-05-04 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-04-15 2022-05-04 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2022-04-15 2022-05-04 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-03-11 2022-04-15 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2022-03-11 2022-04-15 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2022-03-11 2022-04-15 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-06-29 Not Fixed Y