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Deficiency Records for Optalis Health and Rehabilitation St Francis

A list of the most recent deficiencies for Optalis Health and Rehabilitation St Francis. 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 Optalis Health and Rehabilitation St Francis. 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 each resident receives an accurate assessment. Health 2024-01-31 2024-02-21 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-31 2024-02-21 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-01-31 2024-02-21 N
Ensure medication error rates are not 5 percent or greater. Health 2024-01-31 2024-02-21 N
Provide and implement an infection prevention and control program. Health 2024-01-31 2024-02-21 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-01-31 2024-02-21 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-01-31 2024-02-21 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-01-31 2024-02-21 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-01-31 2024-02-21 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2024-01-30 2024-02-21 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-01-30 2024-02-21 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-01-30 2024-02-21 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-05-26 2023-06-22 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-10-20 2022-11-21 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 2022-10-20 2022-11-21 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-10-20 2022-11-21 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 2022-10-20 2022-11-21 N
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2022-10-20 2022-11-21 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-10-20 2022-11-21 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 2022-10-20 2022-11-21 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2022-10-20 2022-11-21 N
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2022-10-20 2022-11-21 N
Ensure that residents are free from significant medication errors. Health 2022-10-20 2022-11-21 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 2022-10-20 2022-11-21 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2022-10-20 2022-11-21 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-10-20 2022-11-21 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-10-20 2022-11-21 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-10-20 2022-11-21 Y
Conduct testing and exercise requirements. Fire Safety 2022-10-19 2022-11-21 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-10-19 2022-11-21 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 2022-10-19 2022-11-21 N
Have corridors or aisles that are unobstructed and are at least 8 feet in width. Fire Safety 2022-10-19 2022-11-21 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 2022-10-19 2022-11-21 N
Provide properly protected cooking facilities. Fire Safety 2022-10-19 2022-11-21 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2022-10-19 2022-11-21 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2022-10-19 2022-11-21 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-10-19 2022-11-21 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2022-10-19 2022-11-21 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-10-19 2022-11-21 N
Have power receptacles that are properly grounded. Fire Safety 2022-10-19 2022-11-21 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-10-19 2022-11-21 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2021-06-24 2021-08-13 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2021-06-24 2021-07-26 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-06-24 2021-07-26 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-06-24 2021-07-26 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2021-06-24 2021-07-26 N
Provide enough food/fluids to maintain a resident's health. Health 2021-06-24 2021-07-26 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 2021-06-24 2021-07-26 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 2021-06-24 2021-07-26 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2021-06-24 2021-07-26 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-06-24 2021-07-26 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 2021-06-24 2021-07-26 N
Provide properly protected cooking facilities. Fire Safety 2021-06-24 2021-07-26 N
Install an approved automatic sprinkler system. Fire Safety 2021-06-24 2021-07-26 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-06-24 2021-07-26 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2021-06-24 2021-07-26 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-06-24 2021-07-26 N
Have restrictions on the use of portable space heaters. Fire Safety 2021-06-24 2021-07-26 N
Have proper medical gas storage and administration areas. Fire Safety 2021-06-24 2021-07-26 N

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