All citations for Chi Franciscan Villa

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

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Last standard health inspection on record

May 29, 2026

Showing 1 to 25 of 35 citations

No harm, with potential for more than minimal harm
Include a process for Emergency Preparedness collaboration.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of May 29, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 19, 2026).
No harm, with potential for more than minimal harm
Address subsistence needs for staff and patients.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of May 29, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 19, 2026).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of May 29, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 25, 2026).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 29, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 25, 2026).
No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of February 20, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2025).
No harm, with potential for more than minimal harm
Conduct risk assessment and an All-Hazards approach.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of February 20, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2025).
No harm, with potential for more than minimal harm
Establish policies and procedures including evacuation.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of February 20, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2025).
No harm, with potential for more than minimal harm
Create arrangements with other facilities to receive patients.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0025, Emergency Preparedness Deficiencies. Inspection of February 20, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2025).
No harm, with potential for more than minimal harm
Conduct testing and exercise requirements.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of February 20, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2025).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of February 20, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 27, 2025).
No harm, with potential for more than minimal harm
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0346, Smoke Deficiencies. Inspection of February 20, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of February 20, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2025).
No harm, with potential for more than minimal harm
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0354, Smoke Deficiencies. Inspection of February 20, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2025).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of February 20, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2025).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 20, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2025).
No harm, with potential for more than minimal harm
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Widespread (many residents). CMS level F.
Fire safety citation K-0111, Construction Deficiencies. Inspection of December 5, 2023. Found during a standard inspection.
A waiver was granted (December 2, 2024).
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
Widespread (many residents). CMS level F.
Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of December 5, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 14, 2024).
No harm, with potential for more than minimal harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Widespread (many residents). CMS level F.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 5, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 11, 2024).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0211, Egress Deficiencies. Inspection of May 29, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 25, 2026).
No harm, with potential for more than minimal harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0222, Egress Deficiencies. Inspection of May 29, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 26, 2026).
No harm, with potential for more than minimal harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0374, Smoke Deficiencies. Inspection of May 29, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 25, 2026).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0293, Egress Deficiencies. Inspection of February 20, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 27, 2025).
No harm, with potential for more than minimal harm
Construct fire resistant interior walls.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0331, Smoke Deficiencies. Inspection of February 20, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 27, 2025).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of February 20, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2025).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of February 20, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.