Deficiency Records for St. Francis Nursing Home
Updated as of August 01, 2019
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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-21 | 2018-09-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-08-21 | 2018-09-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-24 | 2018-09-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-24 | 2018-09-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-08-24 | 2018-09-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-24 | 2018-09-12 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-08-24 | 2018-09-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-08-24 | 2018-09-12 | 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 ne | Health | 2018-08-24 | 2018-09-12 | 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 | 2018-08-24 | 2018-09-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-24 | 2018-09-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-24 | 2018-09-12 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-08-21 | 2018-09-11 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-07-25 | 2017-08-16 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2017-07-25 | 2017-08-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-07-25 | 2017-08-14 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-07-28 | 2017-08-10 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-28 | 2017-08-10 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-07-28 | 2017-08-10 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-28 | 2017-08-10 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2017-07-28 | 2017-08-10 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-07-28 | 2017-07-31 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-08-10 | 2016-08-29 | N |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2016-08-10 | 2016-08-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-08-12 | 2016-08-18 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2016-08-12 | 2016-08-16 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2016-08-12 | 2016-08-13 | N |
