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Deficiency Records for Franciscan Care Ctr Sylvania

A list of the most recent deficiencies for Franciscan Care Ctr Sylvania. 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 Care Ctr Sylvania. 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?
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-08-08 2024-09-05 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-06-13 2024-09-05 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-06-13 2024-09-05 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2024-06-13 2024-09-05 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-06-13 2024-09-05 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 2024-06-13 2024-09-05 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-06-13 2024-09-05 N
Assist a resident in gaining access to vision and hearing services. Health 2024-06-13 2024-09-05 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-06-13 2024-09-05 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 2024-06-13 2024-09-05 N
Ensure that residents are free from significant medication errors. Health 2024-06-13 2024-09-05 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 2024-06-13 2024-09-05 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2024-06-13 2024-09-05 N
Provide or obtain dental services for each resident. Health 2024-06-13 2024-09-05 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-06-13 2024-09-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-06-13 2024-09-05 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-06-13 2024-09-05 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2024-06-13 2024-09-05 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2024-06-13 2024-09-05 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-06-13 2024-09-05 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-06-13 2024-09-05 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-06-10 2024-09-05 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-06-10 2024-09-05 N
Have an enclosure around a vertical opening shaft. Fire Safety 2024-06-10 2024-09-05 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-06-10 2024-09-05 N
Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. Fire Safety 2024-06-10 2024-09-05 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-06-10 2024-09-05 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-06-10 2024-09-05 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-06-10 2024-09-05 N
Provide a written emergency evacuation plan. Fire Safety 2024-06-10 2024-09-05 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-06-10 2024-09-05 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-06-10 2024-09-05 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2024-03-25 2024-04-12 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-03-05 2024-04-12 Y
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 2024-03-05 2024-04-12 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2024-03-05 2024-04-12 Y
Ensure medication error rates are not 5 percent or greater. Health 2024-03-05 2024-04-12 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-12-11 2023-12-27 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-12-11 2023-12-27 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-12-11 2023-12-27 Y
Ensure that residents are free from significant medication errors. Health 2023-12-11 2023-12-27 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-12-11 2023-12-27 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-11-02 2023-12-27 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-10-05 2023-12-27 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-10-05 2023-12-27 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 2023-07-27 2023-08-25 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2023-07-27 2023-08-25 Y
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2023-07-27 2023-08-25 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-03-02 2023-03-24 Y
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2023-03-02 2023-03-24 Y
Ensure that residents are free from significant medication errors. Health 2023-03-02 2023-03-24 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2023-03-02 2023-03-24 Y
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Health 2022-06-16 2022-07-29 N
Assist a resident in gaining access to vision and hearing services. Health 2022-06-16 2022-07-29 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-06-16 2022-07-29 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-06-16 2022-07-29 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 2022-06-16 2022-07-29 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 2022-06-16 2022-07-29 Y
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 2022-06-14 2022-07-29 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-06-14 2022-07-29 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-06-14 2022-07-29 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-06-14 2022-07-29 N
Ensure staff are vaccinated for COVID-19 Health 2022-03-03 2022-03-30 Y
Prepare residents for a safe transfer or discharge from the nursing home. Health 2022-02-18 2022-03-30 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-07-25 2019-08-16 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2019-07-25 2019-08-16 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-07-25 2019-08-16 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 2019-07-25 2019-08-16 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-07-25 2019-08-16 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-07-25 2019-08-16 N
Observe each nurse aide's job performance and give regular training. Health 2019-07-25 2019-08-16 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 2019-07-25 2019-08-16 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 2019-07-25 2019-08-16 N
Provide and implement an infection prevention and control program. Health 2019-07-25 2019-08-16 N

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