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Deficiency Records for Franciscan Woods
View the most recent health deficiencies and inspection results for Franciscan Woods. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Franciscan Woods. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-12-22 | 2026-02-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-12-22 | 2026-02-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-12-03 | 2025-12-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-02-11 | 2025-06-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-03-20 | 2025-06-18 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-05-06 | 2025-06-02 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-05-06 | 2025-06-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-06 | 2025-06-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-03-20 | 2025-06-02 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-03-20 | 2025-04-23 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-03-20 | 2025-04-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-03-20 | 2025-04-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-03-20 | 2025-04-23 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-03-20 | 2025-04-23 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2025-03-20 | 2025-04-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-11 | 2025-03-12 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-01-14 | 2025-02-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-12-23 | 2025-01-23 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-11-14 | 2025-01-14 | 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 | 2024-11-14 | 2025-01-13 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-11-14 | 2025-01-08 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-11-14 | 2025-01-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-14 | 2025-01-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-11-14 | 2025-01-08 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2024-11-14 | 2025-01-08 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2024-11-14 | 2025-01-08 | N |
| Post nurse staffing information every day. | Health | 2024-11-14 | 2024-12-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-11-14 | 2024-12-10 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-11-14 | 2024-12-10 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-11-14 | 2024-12-10 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-11-14 | 2024-12-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-11-14 | 2024-12-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-11-14 | 2024-12-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-11-14 | 2024-12-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-14 | 2024-12-10 | 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 | 2024-11-14 | 2024-12-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-05 | 2024-05-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-05 | 2023-11-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-05 | 2023-11-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-05 | 2023-11-04 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-05 | 2023-11-04 | Y |
| 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 | 2023-10-05 | 2023-11-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-05 | 2023-11-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-05 | 2023-11-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-05 | 2023-11-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-05 | 2023-11-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-05 | 2023-11-04 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-07-18 | 2022-08-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-18 | 2022-08-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-18 | 2022-08-16 | 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 | 2022-07-18 | 2022-08-16 | 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 | 2022-07-18 | 2022-08-16 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-07-18 | 2022-08-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-18 | 2022-08-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-18 | 2022-08-16 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-07-18 | 2022-08-16 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-07-18 | 2022-08-16 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-07-18 | 2022-08-16 | N |
| Respond appropriately to all alleged violations. | Health | 2022-07-18 | 2022-08-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-18 | 2022-08-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-07-18 | 2022-08-16 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-07-18 | 2022-08-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-18 | 2022-08-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-18 | 2022-08-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-11-14 | Not Fixed | N |