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FRANCISCAN CARE AND REHAB CTR
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760002520
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Details
Costs
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CMS Inspection Results
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.
- 03/24/2008 Health Survey for FRANCISCAN CARE AND REHAB CTR
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Make sure that staff members wash their hands when needed. | Pattern | Minimal harm or potential for actual harm |
| Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm |
| Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. | 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 residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Minimal harm or potential for 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 |
- 04/13/2007 Health Survey for FRANCISCAN CARE AND REHAB CTR
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Actual harm |
| Give professional services that follow each resident's written care plan. | Pattern | 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 |
| 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 |
| Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. | Isolated | Minimal harm or potential for actual harm |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Isolated | Minimal harm or potential for actual harm |
| Resident Assessment | ||
| Deficiency | Scope | Level of Harm |
| Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | Pattern | Potential for minimal harm |
| Resident Rights | ||
| Deficiency | Scope | Level of 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 |
- 04/11/2007 Fire Safety Survey for FRANCISCAN CARE AND REHAB CTR
| Automatic Sprinkler Systems | ||
| Deficiency | Scope | Level of Harm |
| automatic sprinkler systems that have been maintained in working order. | Pattern | Minimal harm or potential for actual harm |
| an approved automatic sprinkler system connected to the fire alarm system. | Pattern | Minimal harm or potential for actual harm |
| Corridor Walls and Doors | ||
| Deficiency | Scope | Level of Harm |
| corridors that are separated from common areas by walls constructed to limit the passage of smoke. | Pattern | Minimal harm or potential for actual harm |
| corridor and hallway doors that block smoke. | Pattern | Minimal harm or potential for actual harm |
| Electrical | ||
| Deficiency | Scope | Level of Harm |
| weekly inspections and monthly testing of generators. | Widespread | Minimal harm or potential for actual harm |
| Emergency Plans and Fire Drills | ||
| Deficiency | Scope | Level of Harm |
| record of quarterly fire drills for each shift under varying conditions. | Widespread | Potential for minimal harm |
| Exit and Exit Access | ||
| Deficiency | Scope | Level of Harm |
| at least two remote exits on each floor or fire section of the building. | Pattern | Minimal harm or potential for actual harm |
| Exits and Egress | ||
| Deficiency | Scope | Level of Harm |
| exits that are accessible at all times. | Pattern | Minimal harm or potential for actual harm |
| Fire Alarm Systems | ||
| Deficiency | Scope | Level of Harm |
| an approved installation, maintenance and testing program for fire alarm systems. | Widespread | Minimal harm or potential for actual harm |
| Hazardous Area | ||
| Deficiency | Scope | Level of Harm |
| construction that can resist fire for one hour or an approved fire extinguishing system. | Widespread | Minimal harm or potential for actual harm |
| Illumination and Emergency Power | ||
| Deficiency | Scope | Level of Harm |
| proper backup exit lighting. | Pattern | Minimal harm or potential for actual harm |
| emergency lighting that can last at least 1 1/2 hours. | Widespread | Potential for minimal harm |
| Interior Finish | ||
| Deficiency | Scope | Level of Harm |
| fire-resistant interior walls. | Widespread | Minimal harm or potential for actual harm |
| fire-resistant room wall surfaces. | Isolated | Minimal harm or potential for actual harm |
| Medical Gases and Anesthetizing Areas | ||
| Deficiency | Scope | Level of Harm |
| proper fire barriers, ventilation and signs for the transport of oxygen. | Pattern | Minimal harm or potential for actual harm |
| Miscellaneous | ||
| Deficiency | Scope | Level of Harm |
| fire safety features required by current fire safety codes. | Widespread | Minimal harm or potential for actual harm |
| Smoke Compartmentation and Control | ||
| Deficiency | Scope | Level of Harm |
| walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. | Widespread | Minimal harm or potential for actual harm |
| smoke barrier doors that can resist smoke for at least 20 minutes. | Pattern | Minimal harm or potential for actual harm |
- 03/27/2006 Health Survey for FRANCISCAN CARE AND REHAB CTR
| Administration | ||
| Deficiency | Scope | Level of Harm |
| Keep accurate and appropriate medical records. | Pattern | Potential for minimal harm |
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Keep a resident apart from the others if the resident has an infection that can spread. | Isolated | Minimal harm or potential for actual harm |
| Mistreatment | ||
| Deficiency | Scope | Level of Harm |
| Protect residents from mistreatment, neglect, and/or theft of personal property. | Pattern | Immediate jeopardy to resident health or safety |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Widespread | Minimal harm or potential for actual harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Pattern | Minimal harm or potential for actual harm |
| Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | Isolated | Minimal harm or potential for actual harm |
| Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. | Isolated | Minimal harm or potential for actual harm |
| Resident Assessment | ||
| Deficiency | Scope | Level of Harm |
| Make a complete assessment that covers all questions for areas that are listed in official regulations. | Isolated | 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. | Pattern | Potential for minimal harm |
- 03/22/2006 Fire Safety Survey for FRANCISCAN CARE AND REHAB CTR
| Smoke Compartmentation and Control | ||
| Deficiency | Scope | Level of Harm |
| walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. | Widespread | Potential for minimal harm |
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