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ST. FRANCIS CARE/BRACKENVILLECategory: Nursing Home100 ST. CLAIRE DRIVEHOCKESSIN, DE 19707  Medicare, Medicaid  Capacity: 104 beds CMS Rating:  Contact ST. FRANCIS CARE/BRACKENVILLE |
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St. Francis Care/brackenville Details
St. Francis Care/brackenville Costs
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CMS Inspection Results for ST. FRANCIS CARE/BRACKENVILLE
The Center for Medicare & Medcaid Services (CMS) contracts with each state to conduct inspections once every 9-15 months to assure that certified facilities meet the minimum Medicare and Medicaid quality and performance standards.
- 01/14/2009 Fire Safety Survey for ST. FRANCIS CARE/BRACKENVILLE
| Hazardous Area | ||
| Deficiency | Scope | Level of Harm |
| construction that can resist fire for one hour or an approved fire extinguishing system. | Widespread | Potential for minimal harm |
| Vertical Openings | ||
| Deficiency | Scope | Level of Harm |
| exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors. | Pattern | Potential for minimal harm |
- 01/12/2009 Health Survey for ST. FRANCIS CARE/BRACKENVILLE
| Administration | ||
| Deficiency | Scope | Level of Harm |
| 1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. | Pattern | Minimal harm or potential for actual harm |
| Get services outside the nursing home that meet professional standards. | Widespread | Potential for minimal harm |
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Get rid of garbage properly. | Widespread | Minimal harm or potential for actual harm |
| Have a program to keep infection from spreading. | Widespread | Minimal harm or potential for actual harm |
| Make sure that staff members wash their hands when needed. | Isolated | Minimal harm or potential for actual harm |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable. | Pattern | Potential for minimal harm |
| Make sure that the nursing home area is free of dangers that cause accidents. | Pattern | Potential for minimal harm |
| Mistreatment | ||
| Deficiency | Scope | Level of Harm |
| 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 |
| 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. | Pattern | Minimal harm or potential for actual harm |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Isolated | Minimal harm or potential for actual harm |
| Nutrition and Dietary | ||
| Deficiency | Scope | Level of Harm |
| Store, cook, and give out food in a safe and clean way. | Widespread | Minimal harm or potential for actual harm |
| Pharmacy Service | ||
| Deficiency | Scope | Level of Harm |
| Make sure that residents are safe from serious medication errors. | Pattern | Minimal harm or potential for actual harm |
| Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | Isolated | Minimal harm or potential for actual harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Give each resident care and services to get or keep the highest quality of life possible. | Pattern | Minimal harm or potential for actual harm |
| Develop/implement required procedures for the administration of immunizations. | Isolated | Minimal harm or potential for actual harm |
| 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 |
| Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm |
| Resident Assessment | ||
| Deficiency | Scope | Level of Harm |
| 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 |
| Assess the resident when the resident enters the nursing home, in a timely manner. | Isolated | Minimal harm or potential for actual harm |
| Resident Rights | ||
| Deficiency | Scope | Level of Harm |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | Pattern | Minimal harm or potential for actual harm |
| Provide services to meet the needs and preferences of each resident. | Isolated | Minimal harm or potential for actual harm |
| Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm |
| Allow residents to easily see the results of the nursing home's most recent survey. | Widespread | Potential for minimal harm |
- 01/15/2008 Health Survey for ST. FRANCIS CARE/BRACKENVILLE
| Administration | ||
| Deficiency | Scope | Level of Harm |
| 1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. | Isolated | Minimal harm or potential for actual harm |
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Make sure that the nursing home area is free of dangers that cause accidents. | Pattern | Minimal harm or potential for actual harm |
| Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection. | Widespread | Potential for minimal harm |
| Provide needed housekeeping and maintenance. | Pattern | Potential for minimal harm |
| Have enough outside airflow. | Pattern | Potential for minimal harm |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable. | Pattern | Potential for minimal harm |
| Mistreatment | ||
| Deficiency | Scope | Level of Harm |
| Protect residents from mistreatment, neglect, and/or theft of personal property. | Isolated | Minimal harm or potential for actual harm |
| 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 |
| Nutrition and Dietary | ||
| Deficiency | Scope | Level of Harm |
| Store, cook, and give out food in a safe and clean way. | Widespread | Minimal harm or potential for actual harm |
| 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. | Pattern | Minimal harm or potential for actual harm |
| Pharmacy Service | ||
| Deficiency | Scope | Level of Harm |
| Make sure that residents are safe from serious medication errors. | Isolated | Minimal harm or potential for actual harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm |
| Resident Assessment | ||
| Deficiency | Scope | Level of Harm |
| 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. | Pattern | Minimal harm or potential for actual harm |
| 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 |
| Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | Isolated | Minimal harm or potential for actual harm |
- 01/29/2007 Health Survey for ST. FRANCIS CARE/BRACKENVILLE
| Administration | ||
| Deficiency | Scope | Level of Harm |
| Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm |
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Pattern | Potential for minimal harm |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable. | Pattern | Potential for minimal harm |
| Provide needed housekeeping and maintenance. | Pattern | Potential for minimal harm |
| Make sure that staff members wash their hands when needed. | Pattern | Potential for minimal harm |
| Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection. | Pattern | Potential for minimal harm |
| Mistreatment | ||
| Deficiency | Scope | Level of Harm |
| Protect residents from mistreatment, neglect, and/or theft of personal property. | Isolated | Minimal harm or potential for actual harm |
| 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 |
| Nutrition and Dietary | ||
| Deficiency | Scope | Level of Harm |
| Store, cook, and give out food in a safe and clean way. | Isolated | Minimal harm or potential for actual harm |
| Pharmacy Service | ||
| Deficiency | Scope | Level of Harm |
| Make sure that residents are safe from serious medication errors. | Isolated | Minimal harm or potential for actual harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Actual harm |
| Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Actual harm |
| 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 |
| Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm |
| Resident Assessment | ||
| Deficiency | Scope | Level of Harm |
| 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 | ||
| Deficiency | Scope | Level of Harm |
| Provide services to meet the needs and preferences of each resident. | Pattern | Minimal harm or potential for actual harm |
| Try to resolve each resident's complaints quickly. | Isolated | Minimal harm or potential for actual harm |
| Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | Pattern | Potential for minimal harm |
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