A list of the most recent deficiencies for St Francis Health Services. 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 battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-11-23 | 2023-01-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-23 | 2022-12-09 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-11-23 | 2022-11-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-23 | 2022-11-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-20 | 2021-10-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-20 | 2021-10-13 | 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 | 2021-09-20 | 2021-10-13 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-09-20 | 2021-10-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-09-20 | 2021-10-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-20 | 2021-10-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-20 | 2021-10-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-20 | 2021-10-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-20 | 2021-10-13 | 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 | 2021-03-10 | 2021-03-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-11 | 2019-10-02 | 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 | 2019-09-11 | 2019-10-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-09-11 | 2019-10-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-11 | 2019-10-02 | 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 | 2019-09-11 | 2019-10-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-11 | 2019-10-02 | 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 | 2019-09-04 | 2019-10-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-04 | 2019-10-02 | N |
