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Deficiency Records for St Francis Healthcare Center
View the most recent health deficiencies and inspection results for St Francis Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for St Francis Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2026-04-10 | 2026-05-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-04-10 | 2026-05-10 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2026-04-10 | 2026-05-10 | N |
| Respond appropriately to all alleged violations. | Health | 2026-04-10 | 2026-05-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-04-10 | 2026-05-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2026-04-10 | 2026-05-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-04-10 | 2026-05-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2026-04-10 | 2026-05-10 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2026-04-10 | 2026-05-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-04-10 | 2026-05-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-04-10 | 2026-05-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-04-10 | 2026-05-10 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2026-04-10 | 2026-05-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2026-04-10 | 2026-05-10 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2026-04-10 | 2026-04-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-04-10 | 2026-04-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2026-04-10 | 2026-04-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2026-04-10 | 2026-04-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-04-10 | 2026-04-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2026-04-10 | 2026-04-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2026-04-10 | 2026-04-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-04-10 | 2026-04-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2026-04-10 | 2026-04-26 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2026-04-10 | 2026-04-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-04-10 | 2026-04-26 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2026-04-10 | 2026-04-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2026-04-10 | 2026-04-24 | N |
| Construct fire resistant interior walls. | Fire Safety | 2025-07-24 | 2025-08-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-07-24 | 2025-08-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-07-24 | 2025-08-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-07-24 | 2025-08-23 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2025-07-24 | 2025-08-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-07-24 | 2025-08-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-07-24 | 2025-08-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-07-24 | 2025-08-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-07-24 | 2025-08-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-07-24 | 2025-08-06 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2025-07-24 | 2025-08-06 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-07-24 | 2025-08-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-07-24 | 2025-08-06 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2025-07-24 | 2025-08-05 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2025-07-24 | 2025-08-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-07-24 | 2025-08-01 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-07-24 | 2025-08-01 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2025-07-24 | 2025-08-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-07-24 | 2025-07-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-07-24 | 2025-07-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-07-24 | 2025-07-27 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2025-07-24 | 2025-07-25 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2025-07-24 | 2025-07-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-07-24 | 2025-07-25 | N |
| Use approved construction type or materials. | Fire Safety | 2025-07-24 | 2025-07-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-26 | 2024-10-07 | 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 | 2024-03-22 | 2024-05-02 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2024-03-22 | 2024-05-02 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-03-22 | 2024-04-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-22 | 2024-04-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-22 | 2024-04-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-22 | 2024-04-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-22 | 2024-04-29 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-03-22 | 2024-04-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-22 | 2024-04-29 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-03-22 | 2024-04-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-03-22 | 2024-04-29 | N |
| Use approved construction type or materials. | Fire Safety | 2024-03-22 | 2024-04-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-03-22 | 2024-04-29 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-03-22 | 2024-04-29 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-03-22 | 2024-04-29 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-03-22 | 2024-04-29 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-03-18 | 2024-04-18 | Y |