Deficiency Records for Franciscan Woods
Updated as of March 01, 2023
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? |
---|---|---|---|---|
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | 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 |
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 |
Respond appropriately to all alleged violations. | Health | 2022-07-18 | 2022-08-16 | 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 |
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 |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 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 |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | 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 |
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 |
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 |
Provide and implement an infection prevention and control program. | 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 | Y |
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 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-13 | 2022-08-16 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-13 | 2022-08-16 | N |
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 |
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 |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-05-22 | 2019-07-03 | N |
Respond appropriately to all alleged violations. | 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 |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-05-20 | 2019-06-01 | N |