All citations for Villa St Francis Catholic Care Center Inc

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 Villa St Francis Catholic Care Center Inc

Last standard health inspection on record

December 31, 2024

Showing 1 to 22 of 22 citations

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 May 23, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2023).
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 May 23, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2023).
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 May 23, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2023).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Widespread (many residents). CMS level F.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of May 23, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2023).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Widespread (many residents). CMS level F.
Fire safety citation K-0511, Services Deficiencies. Inspection of May 23, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2023).
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 23, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2023).
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 23, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2023).
No harm, with potential for more than minimal harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Pattern (more than a few residents). CMS level E.
Health citation F-0805, Nutrition and Dietary Deficiencies. Inspection of May 23, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 26, 2023).
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 May 23, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 26, 2023).
No harm, with potential for more than minimal harm
Use approved construction type or materials.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0161, Construction Deficiencies. Inspection of May 23, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2023).
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 23, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2023).
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 May 23, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 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 May 23, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2023).
No harm, with potential for more than minimal harm
Have restrictions on the use of highly flammable decorations.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0753, Miscellaneous Deficiencies. Inspection of May 23, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2023).
No harm, with potential for more than minimal harm
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0926, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 23, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2023).
No harm, with potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Isolated (one or a few residents). CMS level D.
Health citation F-0550, Resident Rights Deficiencies. Inspection of May 23, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 26, 2023).
No harm, with potential for more than minimal harm
Reasonably accommodate the needs and preferences of each resident.
Isolated (one or a few residents). CMS level D.
Health citation F-0558, Resident Rights Deficiencies. Inspection of May 23, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 26, 2023).
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 23, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 26, 2023).
No harm, with potential for more than minimal harm
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Isolated (one or a few residents). CMS level D.
Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of May 23, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 26, 2023).
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 May 23, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 26, 2023).
No harm, with potential for more than minimal harm
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Isolated (one or a few residents). CMS level D.
Health citation F-0744, Quality of Life and Care Deficiencies. Inspection of May 23, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 26, 2023).
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.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0222, Egress Deficiencies. Inspection of May 23, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2023).

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.