Deficiency Records for St. Francis Nursing Home
Updated as of September 01, 2016
This is not the most recent data for St. Francis Nursing Home. For the most recent information, click here.
A list of the most recent deficiencies for St. Francis Nursing Home. 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? |
|---|---|---|---|---|
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-08-28 | 2015-09-01 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-08-28 | 2015-09-01 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-08-28 | 2015-09-01 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2015-08-28 | 2015-09-01 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-06-19 | 2014-07-22 | N |
| Properly working alarms on sprinkler valves. | Fire Safety | 2014-06-19 | 2014-07-14 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2014-06-19 | 2014-07-09 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-06-20 | 2014-07-08 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2014-06-20 | 2014-07-08 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-06-20 | 2014-07-08 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2014-06-20 | 2014-07-08 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-06-20 | 2014-07-08 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-06-20 | 2014-07-08 | 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 | 2014-06-20 | 2014-06-24 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-06-19 | 2014-06-24 | N |
| Signs that state that exit doors are to be kept closed. | Fire Safety | 2014-06-19 | 2014-06-23 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2014-06-19 | 2014-06-23 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-06-19 | 2014-06-23 | N |
| Properly constructed linen or trash chutes. | Fire Safety | 2014-06-19 | 2014-06-23 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-06-19 | 2014-06-23 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2013-09-24 | 2013-10-16 | N |
| Provide clean bed and bath linens that are in good condition. | Health | 2013-09-25 | 2013-10-11 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2013-09-25 | 2013-10-11 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2013-09-25 | 2013-10-11 | N |
| Provide food in a way that meets a resident's needs. | Health | 2013-09-25 | 2013-10-11 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-09-25 | 2013-10-11 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2013-09-25 | 2013-10-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2013-09-25 | 2013-10-11 | N |
| Portable fire extinguishers. | Fire Safety | 2013-09-24 | 2013-10-09 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-09-25 | 2013-09-26 | N |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2013-09-24 | 2013-09-26 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2013-09-24 | 2013-09-26 | N |
