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Deficiency Records for St Francis Manor
A list of the most recent deficiencies for St Francis Manor. 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 St Francis Manor. 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 testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-06-13 | 2024-07-12 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-06-13 | 2024-06-25 | 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 | 2024-06-13 | 2024-06-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-06-13 | 2024-06-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-13 | 2023-08-13 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-07-19 | 2023-07-27 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-07-19 | 2023-07-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-19 | 2023-07-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-19 | 2023-07-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-19 | 2023-07-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-01 | 2021-12-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-11-01 | 2021-12-01 | 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 | 2021-10-28 | 2021-11-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-28 | 2021-11-26 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-11-01 | 2021-11-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-01 | 2021-11-09 | N |
| Use approved construction type or materials. | Fire Safety | 2021-11-01 | 2021-11-02 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-11-01 | 2021-11-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-11-01 | 2021-11-02 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-11-01 | 2021-11-02 | N |
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