A list of the most recent deficiencies for St Francis Home. 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? |
---|---|---|---|---|
Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-09-13 | 2024-02-27 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-11 | 2024-02-11 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-09 | 2023-12-09 | Y |
Respond appropriately to all alleged violations. | Health | 2023-11-09 | 2023-12-09 | Y |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-09-13 | 2023-11-08 | 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 | 2023-09-13 | 2023-10-20 | N |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-09-13 | 2023-10-13 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-13 | 2023-10-13 | 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 | 2023-09-13 | 2023-10-13 | N |
Provide and implement an infection prevention and control program. | Health | 2023-09-13 | 2023-10-13 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-13 | 2023-10-13 | N |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-09-13 | 2023-09-28 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-09-13 | 2023-09-15 | 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 | 2023-09-13 | 2023-09-15 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-09-13 | 2023-09-15 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-10 | 2023-08-02 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-10 | 2023-08-02 | Y |
Respond appropriately to all alleged violations. | Health | 2023-07-10 | 2023-08-02 | Y |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-06 | 2022-11-30 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-05 | 2022-11-05 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-05 | 2022-11-05 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-05 | 2022-11-05 | Y |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-10-06 | 2022-11-05 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2021-08-04 | 2021-08-30 | 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 | 2021-08-04 | 2021-08-30 | N |
Provide and implement an infection prevention and control program. | Health | 2021-08-04 | 2021-08-30 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-08-04 | 2021-08-05 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-08-04 | 2021-08-05 | N |