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Deficiency Records for Franciscan Village
A list of the most recent deficiencies for Franciscan Village. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Franciscan Village. 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? |
|---|---|---|---|---|
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-08-27 | 2024-09-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-09 | 2024-09-19 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-08-27 | 2024-08-30 | 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 | 2024-08-27 | 2024-08-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-27 | 2024-08-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-08-27 | 2024-08-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-27 | 2024-08-28 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2024-08-27 | 2024-08-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-08-09 | 2024-08-26 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-08-09 | 2024-08-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-09 | 2024-08-26 | N |
| Provide activities to meet all resident's needs. | Health | 2024-08-09 | 2024-08-26 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-08-09 | 2024-08-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-09 | 2024-08-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-08-09 | 2024-08-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-09 | 2024-08-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-19 | 2023-11-14 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-10-19 | 2023-11-14 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-19 | 2023-11-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-19 | 2023-11-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-19 | 2023-11-14 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-10-19 | 2023-11-14 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-10-19 | 2023-11-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-19 | 2023-11-14 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-10-19 | 2023-11-14 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-09-09 | 2022-09-28 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-09-09 | 2022-09-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-09 | 2022-09-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-09 | 2022-09-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-09 | 2022-09-28 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-09-09 | 2022-09-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-07-08 | 2022-07-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-17 | 2022-06-06 | Y |
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