Deficiency Records for Franciscan Woods
Updated as of May 01, 2022
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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-14 | 2021-11-13 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-09-30 | 2021-10-30 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2021-09-30 | 2021-10-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-07 | 2021-05-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-07 | 2021-05-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-04-07 | 2021-05-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-07 | 2021-05-13 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-04-06 | 2021-04-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-06 | 2021-04-19 | N |
| 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 |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-05-20 | 2019-06-01 | N |
| 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 |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-06-13 | 2018-06-30 | N |
