Inspection Results » St. Francis Convalescent Pavilion

  1. Health Inspection on November 21, 2017 [1]

    1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Store, cook, and serve food in a safe and clean way. (Corrected 2018-01-30)
    2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Keep all essential equipment working safely. (Corrected 2018-01-30)
      • Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. (Corrected 2018-01-30)
      • Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. (Corrected 2018-01-30)
      • Train all employees on what to do in an emergency, and carry out unannounced staff drills. (Corrected 2018-01-30)
      • Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. (Corrected 2018-01-30)
      • Provide necessary care and services to maintain or improve the highest well being of each resident . (Corrected 2018-01-30)
      • At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. (Corrected 2018-01-30)
      • Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. (Corrected 2018-01-30)
      • Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. (Corrected 2018-01-30)
      • Have a program that investigates, controls and keeps infection from spreading. (Corrected 2018-01-30)
    3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Hire sufficient dietary support personnel. (Corrected 2018-01-30)
      • Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. (Corrected 2018-01-30)

To be part of the Medicare and Medicaid programs, nursing homes have to meet certain requirements set by Congress. The Centers for Medicare and Medicaid Services (CMS) has entered into an agreement with state governments to do health inspections and fire safety inspections of these nursing homes and investigate complaints about nursing home care. [2]

About The Inspection Process


References

  1. http://www.medicare.gov/NursingHomeCompare/About/Health-Inspections.html
  2. http://www.medicare.gov/NursingHomeCompare/About/Inspection-Results.html