| Percent of High Risk Long Term Nursing Home Residents Who Have Pressure Sores: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report. |
| Percent of Long Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report. |
| Percent of Long Term Nursing Home Residents Who are More Depressed or Anxious: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report. |
| Percent of Long Term Nursing Home Residents Who Have Moderate to Severe Pain: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report. |
| Percent of Long Term Nursing Home Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report. |
| Percent of Long Term Nursing Home Residents Who Lose Too Much Weight: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report. |
| Percent of Long Term Nursing Home Residents Who Spend Most of Their Time in Bed or in a Chair: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report. |
| Percent of Long Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report. |
| Percent of Long Term Nursing Home Residents Who Were Physically Restrained: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report. |
| Percent of Long Term Nursing Home Residents Whose Ability to Move About in and Around Their Room Got Worse: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report. |
| Percent of Long Term Nursing Home Residents Whose Need for Help With Daily Activities Has Increased: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report. |
| Percent of Long Term Nursing Home Residents With a Urinary Tract Infection: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report. |
| Percent of Low-Risk Long Term Nursing Home Residents Who Have Pressure Sores: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report. |
| Percent of Low-Risk Long Term Nursing Home Residents Who Lose Control of Their Bowels or Bladder: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report. |
| Percent of Short Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: 77% |
| Percent of Short Term Nursing Home Residents Who Had Moderate to Severe Pain: 20% |
| Percent of Short Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: 74% |
| Percent of Short Term Nursing Home Residents With Delirium: 2% |
| Percent of Short Term Nursing Home Residents With Pressure Sores: 37% |
Nursing Home Violations by St. Francis Skilled Nursing
|
| Health Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Environmental Deficiencies |
10/30/2003 |
Provide needed housekeeping and maintenance. |
Pattern |
Potential for minimal harm |
| Environmental Deficiencies |
10/30/2003 |
Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
Widespread |
Potential for minimal harm |
| Mistreatment Deficiencies |
10/30/2003 |
1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. |
Isolated |
Minimal harm or potential for actual harm |
| Mistreatment Deficiencies |
10/30/2003 |
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. |
Widespread |
Potential for minimal harm |
| Resident Assessment Deficiencies |
10/30/2003 |
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
10/30/2003 |
Allow residents to easily see the results of the nursing home's most recent survey. |
Pattern |
Potential for minimal harm |
| Administration Deficiencies |
11/30/2004 |
Keep accurate and appropriate medical records. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
11/30/2004 |
Provide needed housekeeping and maintenance. |
Pattern |
Potential for minimal harm |
| Environmental Deficiencies |
11/30/2004 |
Make sure that the nursing home area is free of dangers that cause accidents. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
11/30/2004 |
Have a program to keep infection from spreading. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
11/30/2004 |
Make sure that staff members wash their hands when needed. |
Isolated |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
11/30/2004 |
Keep drugs and other similar products locked safely and properly stored. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
11/30/2004 |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
11/30/2004 |
Give each resident care and services to get or keep the highest quality of life possible. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
11/30/2004 |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Isolated |
Actual harm |
| Quality Care Deficiencies |
11/30/2004 |
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
11/30/2004 |
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
11/30/2004 |
1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
11/30/2004 |
Allow residents to easily see the results of the nursing home's most recent survey. |
Pattern |
Potential for minimal harm |
| Environmental Deficiencies |
11/21/2005 |
Put firmly secured handrails on each side of hallways. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
11/21/2005 |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Isolated |
Minimal harm or potential for actual harm |
| Fire Safety Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Automatic Sprinkler Systems Deficiencies |
11/07/2003 |
have an adequate water supply for the sprinkler system. |
Widespread |
Minimal harm or potential for actual harm |
| Automatic Sprinkler Systems Deficiencies |
11/23/2005 |
an approved automatic sprinkler system connected to the fire alarm system. |
Widespread |
Potential for minimal harm |
| Automatic Sprinkler Systems Deficiencies |
11/23/2005 |
automatic sprinkler systems that have been maintained in working order. |
Widespread |
Potential for minimal harm |
| Automatic Sprinkler Systems Deficiencies |
11/23/2005 |
portable fire extinguishers. |
Widespread |
Potential for minimal harm |
| Building Contruction Deficiencies |
11/23/2005 |
a two-hour-resistant firewall in common walls. |
Widespread |
Potential for minimal harm |
| Corridor Walls and Doors Deficiencies |
11/23/2005 |
corridor and hallway doors that block smoke. |
Widespread |
Potential for minimal harm |
| Emergency Plans and Fire Drills Deficiencies |
11/23/2005 |
record of quarterly fire drills for each shift under varying conditions. |
Widespread |
Potential for minimal harm |
| Fire Alarm Systems Deficiencies |
11/23/2005 |
an approved installation, maintenance and testing program for fire alarm systems. |
Widespread |
Potential for minimal harm |
| Smoke Compartmentation and Control Deficiencies |
11/23/2005 |
walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. |
Widespread |
Potential for minimal harm |
