All citations for 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.

Back to Franciscan Villa

Last standard health inspection on record

December 23, 2024

Showing 1 to 21 of 21 citations

  1. Harm to a resident

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of March 11, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 12, 2026).

  2. Harm to a resident

    Provide enough food/fluids to maintain a resident's health.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of July 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 17, 2022).

  3. No harm, with potential for more than minimal harm

    Properly provide smoke detection systems in areas open to corridors.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0347, Smoke Deficiencies. Inspection of July 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 17, 2022).

  4. 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 July 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 10, 2022).

  5. 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 July 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 18, 2022).

  6. 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 June 30, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 29, 2026).

  7. 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 June 30, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 29, 2026).

  8. 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 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 20, 2025).

  9. No harm, with potential for more than minimal harm

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of December 23, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 20, 2025).

  10. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of December 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 2025).

  11. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of July 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 17, 2022).

  12. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of July 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 17, 2022).

  13. 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 July 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 18, 2022).

  14. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of July 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 17, 2022).

  15. 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 July 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 18, 2022).

  16. No harm, with potential for more than minimal harm

    Allow residents to self-administer drugs if determined clinically appropriate.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0554, Resident Rights Deficiencies. Inspection of March 11, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 30, 2026).

  17. No harm, with potential for more than minimal harm

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of July 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 18, 2022).

  18. No harm, with potential for more than minimal harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of July 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 18, 2022).

  19. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of July 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 17, 2022).

  20. No harm, with potential for minimal harm

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of July 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 17, 2022).

  21. No harm, with potential for minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of July 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 17, 2022).

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.