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Deficiency Records for Franciscan Health Center
A list of the most recent deficiencies for Franciscan Health Center. 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 Health Center. 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? |
---|---|---|---|---|
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-09 | 2024-09-06 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-09 | 2024-09-06 | Y |
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-08-09 | 2024-09-06 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-19 | 2024-04-15 | Y |
Respond appropriately to all alleged violations. | Health | 2024-03-19 | 2024-04-15 | Y |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-10-05 | 2023-11-22 | N |
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-10-05 | 2023-11-22 | N |
Assure the security of all personal funds of residents deposited with the facility. | Health | 2023-10-05 | 2023-11-22 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-10-05 | 2023-11-22 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-10-05 | 2023-11-22 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-05 | 2023-11-22 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-05 | 2023-11-22 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-10-05 | 2023-11-22 | 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 | 2023-10-05 | 2023-11-22 | N |
Provide and implement an infection prevention and control program. | Health | 2023-10-05 | 2023-11-22 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-03 | 2023-11-20 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-03 | 2023-11-20 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-03 | 2023-11-20 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-01 | 2023-03-24 | Y |
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 | 2023-01-06 | 2023-02-18 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-06 | 2023-02-18 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-06 | 2023-02-18 | 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 | 2023-01-06 | 2023-02-18 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-06 | 2023-02-18 | N |
Provide and implement an infection prevention and control program. | Health | 2023-01-06 | 2023-02-18 | N |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-01-06 | 2023-02-18 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-06 | 2023-02-18 | Y |
Implement emergency and standby power systems. | Fire Safety | 2023-01-06 | 2023-02-18 | 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 | 2023-01-04 | 2023-02-18 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-04 | 2023-02-18 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-01-04 | 2023-02-18 | N |
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-01-04 | 2023-02-18 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-01-04 | 2023-02-18 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-04 | 2023-02-18 | N |
Ensure that residents are free from significant medication errors. | Health | 2022-09-19 | 2022-09-24 | Y |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-07-13 | 2022-08-15 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-13 | 2022-08-15 | Y |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-02-14 | 2022-03-15 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2021-10-29 | 2021-12-17 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-29 | 2021-12-17 | 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 | 2021-10-29 | 2021-12-17 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-10-29 | 2021-12-17 | 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 | 2021-10-29 | 2021-12-17 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-10-29 | 2021-12-17 | N |
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-10-29 | 2021-12-17 | N |
Establish staff and initial training requirements. | Fire Safety | 2021-10-29 | 2021-12-17 | N |
Implement emergency and standby power systems. | Fire Safety | 2021-10-29 | 2021-12-17 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-10-27 | 2021-12-17 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-27 | 2021-12-17 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-10-27 | 2021-12-17 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-27 | 2021-12-17 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-10-27 | 2021-12-17 | N |
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