Deficiency Records for Franciscan Woods
Updated as of January 01, 2021
This is not the most recent data for Franciscan Woods. For the most recent information, click here.
A list of the most recent deficiencies for Franciscan Woods. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2020-05-14 | 2020-06-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-12-17 | 2020-01-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-17 | 2020-01-10 | Y |
| 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 | 2019-12-17 | 2020-01-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-22 | 2019-07-26 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-05-22 | 2019-07-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-05-22 | 2019-07-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-05-22 | 2019-07-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-22 | 2019-07-03 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2019-05-22 | 2019-07-03 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-05-22 | 2019-07-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-05-22 | 2019-07-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-06-13 | 2018-06-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-13 | 2018-06-30 | 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 | 2018-06-13 | 2018-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-13 | 2018-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-13 | 2018-06-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-04-05 | 2017-05-05 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-04-06 | 2017-05-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-04-06 | 2017-05-05 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-06 | 2017-05-05 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-04-06 | 2017-05-05 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-04-06 | 2017-05-05 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-04-06 | 2017-05-05 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-06 | 2017-05-05 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-06 | 2017-05-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-04-06 | 2017-05-05 | 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 | 2017-04-05 | 2017-04-27 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-04-05 | 2017-04-24 | N |
