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 25 of 42 citations

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 December 31, 2024. Found during a standard inspection.
A waiver was granted (February 12, 2025).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of December 31, 2024. Found during a standard inspection.
A waiver was granted (February 12, 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 December 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 14, 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 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
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0222, Egress Deficiencies. Inspection of September 27, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 8, 2021).
No harm, with potential for more than minimal harm
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Widespread (many residents). CMS level F.
Fire safety citation K-0343, Smoke Deficiencies. Inspection of September 27, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 8, 2021).
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 September 27, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 8, 2021).
No harm, with potential for more than minimal harm
Install an approved automatic sprinkler system.
Widespread (many residents). CMS level F.
Fire safety citation K-0351, Smoke Deficiencies. Inspection of September 27, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 8, 2021).
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 September 27, 2021. Found during a standard inspection.
A waiver was granted (December 8, 2021).
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 September 27, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 8, 2021).
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 September 27, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 8, 2021).
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 September 27, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 8, 2021).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of September 27, 2021. Found during a standard inspection.
A waiver was granted (December 8, 2021).
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 September 27, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 8, 2021).
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 September 27, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 8, 2021).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Widespread (many residents). CMS level F.
Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 27, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 8, 2021).
No harm, with potential for more than minimal harm
Have proper medical gas storage and administration areas.
Widespread (many residents). CMS level F.
Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 27, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 8, 2021).
No harm, with potential for more than minimal harm
Ensure proper storage of liquid oxygen.
Widespread (many residents). CMS level F.
Fire safety citation K-0930, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 27, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 8, 2021).
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 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 14, 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.