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 26 to 50 of 93 citations

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
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Widespread (many residents). CMS level F.
Health citation F-0851, Administration Deficiencies. Inspection of December 5, 2023. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (January 2, 2024).
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
Provide and implement an infection prevention and control program.
Pattern (more than a few residents). CMS level E.
Health citation F-0880, Infection Control 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
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
Protect each resident from the wrongful use of the resident's belongings or money.
Pattern (more than a few residents). CMS level E.
Health citation F-0602, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 16, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (August 6, 2025).
No harm, with potential for more than minimal harm
Respond appropriately to all alleged violations.
Pattern (more than a few residents). CMS level E.
Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 16, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (July 17, 2025).
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).
No harm, with potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pattern (more than a few residents). CMS level E.
Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 8, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (November 20, 2024).
No harm, with potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pattern (more than a few residents). CMS level E.
Health citation F-0755, Pharmacy Service Deficiencies. Inspection of June 20, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (July 5, 2024).
No harm, with potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Pattern (more than a few residents). CMS level E.
Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of December 5, 2023. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (January 2, 2024).
No harm, with potential for more than minimal harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pattern (more than a few residents). CMS level E.
Health citation F-0761, Pharmacy Service Deficiencies. Inspection of December 5, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 2, 2024).
No harm, with potential for more than minimal harm
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0362, Smoke Deficiencies. Inspection of December 5, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 26, 2023).
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 December 5, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 20, 2023).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0920, 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
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Isolated (one or a few residents). CMS level D.
Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 29, 2026. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (June 19, 2026).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.