| Percent of High Risk Long Term Nursing Home Residents Who Have Pressure Sores: 19% |
| Percent of Long Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: 88% |
| Percent of Long Term Nursing Home Residents Who are More Depressed or Anxious: 6% |
| Percent of Long Term Nursing Home Residents Who Have Moderate to Severe Pain: 7% |
| Percent of Long Term Nursing Home Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 7% |
| Percent of Long Term Nursing Home Residents Who Lose Too Much Weight: 32% |
| Percent of Long Term Nursing Home Residents Who Spend Most of Their Time in Bed or in a Chair: 37% |
| Percent of Long Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: 83% |
| Percent of Long Term Nursing Home Residents Who Were Physically Restrained: 18% |
| Percent of Long Term Nursing Home Residents Whose Ability to Move About in and Around Their Room Got Worse: Not Available - This facility has too few residents at the moment to give an accurate report. Please contact the nursing home directly to obtain current information. |
| Percent of Long Term Nursing Home Residents Whose Need for Help With Daily Activities Has Increased: Not Available - This facility has too few residents at the moment to give an accurate report. Please contact the nursing home directly to obtain current information. |
| Percent of Long Term Nursing Home Residents With a Urinary Tract Infection: 6% |
| Percent of Low-Risk Long Term Nursing Home Residents Who Have Pressure Sores: Not Available - This facility has too few residents at the moment to give an accurate report. Please contact the nursing home directly to obtain current information. |
| Percent of Low-Risk Long Term Nursing Home Residents Who Lose Control of Their Bowels or Bladder: Not Available - This facility has too few residents at the moment to give an accurate report. Please contact the nursing home directly to obtain current information. |
| 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: 12% |
| Percent of Short Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: 84% |
| Percent of Short Term Nursing Home Residents With Delirium: 2% |
| Percent of Short Term Nursing Home Residents With Pressure Sores: 21% |
Nursing Home Violations by St. Francis Medical Center
|
| Health Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Environmental Deficiencies |
09/11/2003 |
Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. |
Isolated |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
09/11/2003 |
1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. |
Isolated |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
09/11/2003 |
Make sure that the pharmacist reports anything unusual to the doctor on duty and the director of nursing. |
Widespread |
Potential for minimal harm |
| Pharmacy Service Deficiencies |
09/11/2003 |
Act when the pharmacist reports something unusual. |
Widespread |
Potential for minimal harm |
| Quality Care Deficiencies |
09/11/2003 |
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 |
09/11/2003 |
Give the right treatment and services to residents who have mental or social problems adjusting. |
Isolated |
Actual harm |
| Resident Assessment Deficiencies |
09/11/2003 |
Make a complete assessment that covers all questions for areas that are listed in official regulations. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
09/11/2003 |
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 Assessment Deficiencies |
09/11/2003 |
Keep assessments completed in the preceding 15 months in the resident's active record. |
Pattern |
Potential for minimal harm |
| Environmental Deficiencies |
10/28/2004 |
Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. |
Pattern |
Potential for minimal harm |
| Environmental Deficiencies |
10/28/2004 |
Provide enough emergency electricity. |
Widespread |
Minimal harm or potential for actual harm |
| Mistreatment Deficiencies |
10/28/2004 |
Keep each resident free from physical restraints, unless needed for medical treatment. |
Isolated |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
10/28/2004 |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Potential for minimal harm |
| Pharmacy Service Deficiencies |
10/28/2004 |
1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. |
Isolated |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
10/28/2004 |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
10/28/2004 |
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 |
10/28/2004 |
Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
10/28/2004 |
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
10/28/2004 |
Provide care in a way that keeps or builds each resident's dignity and self respect. |
Isolated |
Minimal harm or potential for actual harm |
| Administration Deficiencies |
04/27/2006 |
Keep accurate and appropriate medical records. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
04/27/2006 |
Have a program to keep infection from spreading. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
04/27/2006 |
Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. |
Widespread |
Potential for minimal harm |
| Mistreatment Deficiencies |
04/27/2006 |
Keep each resident free from physical restraints, unless needed for medical treatment. |
Pattern |
Minimal harm or potential for actual harm |
| Mistreatment Deficiencies |
04/27/2006 |
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. |
Pattern |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
04/27/2006 |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
04/27/2006 |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
04/27/2006 |
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 |
04/27/2006 |
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
04/27/2006 |
Give or get dental care for each resident. |
Widespread |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
04/27/2006 |
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 Rights Deficiencies |
04/27/2006 |
Keep each resident's personal and medical records private and confidential. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
04/27/2006 |
Allow residents to easily see the results of the nursing home's most recent survey. |
Widespread |
Potential for minimal harm |
| Resident Rights Deficiencies |
04/27/2006 |
Provide care in a way that keeps or builds each resident's dignity and self respect. |
Pattern |
Minimal harm or potential for actual harm |
| Fire Safety Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Vertical Openings Deficiencies |
09/10/2003 |
exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors. |
Isolated |
Minimal harm or potential for actual harm |
| Electrical Deficiencies |
10/27/2004 |
weekly inspections and monthly testing of generators. |
Widespread |
Minimal harm or potential for actual harm |
| Medical Gases and Anesthetizing Areas Deficiencies |
04/25/2006 |
proper medical gas storage and administration areas. |
Widespread |
Potential for minimal harm |