Franciscan Health Center

DULUTH, MN · 47 beds · Non profit - Corporation

48 Trust Score
Grade: D HIGH Risk → Stable

Red Flags

No red flags identified.

Green Flags

  • 4-star staffing rating
  • No fines or penalties on record

Quick Facts

★☆☆☆☆
CMS Overall
★★☆☆☆
Health Inspection
12
1.5x state avg
Deficiencies
$0
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

December 11, 2024

11 deficiencyies
F0655 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

F0686 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0698 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe, appropriate dialysis care/services for a resident who requires such services.

F0725 Potential Harm Scope/Severity: F

Nursing and Physician Services Deficiencies

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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

F0740 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

F0759 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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Ensure medication error rates are not 5 percent or greater.

F0761 Potential Harm Scope/Severity: F

Pharmacy Service Deficiencies

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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.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0883 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Develop and implement policies and procedures for flu and pneumonia vaccinations.

F0887 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

F0919 Potential Harm Scope/Severity: E

Environmental Deficiencies

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Make sure that a working call system is available in each resident's bathroom and bathing area.

August 8, 2024

3 deficiencyies
F0600 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F0943 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

March 18, 2024

2 deficiencyies
F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F0610 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Respond appropriately to all alleged violations.

October 4, 2023

4 deficiencyies
F0561 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

F0568 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

F0570 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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Assure the security of all personal funds of residents deposited with the facility.

F0636 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

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Staffing

1.36
RN hrs/res/day
0.20
LPN hrs/res/day
2.29
CNA hrs/res/day
3.22
Weekend hrs/res/day
43%
Total nurse turnover
24%
RN turnover

A nurse checks on each resident roughly every 6.2 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

Non profit - Corporation Chain: ST. FRANCIS HEALTH SERVICES
  • ST. FRANCIS HEALTH SERVICES OF MORRIS, INC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 12/09/2009

    100% Organization
  • CHAMBERS, MARI

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/31/2022

    Individual
  • PETERSON-DEVRIES, CAMILLA

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 02/16/2022

    Individual
  • RAW, CAROL

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 10/02/2017

    Individual
  • GOODNOUGH, JENNIFER

    CORPORATE DIRECTOR

    Since since 01/01/2021

    Individual
  • NELSON, PATRICK

    CORPORATE DIRECTOR

    Since since 01/01/2020

    Individual
  • WIESE, LORRAINE

    CORPORATE DIRECTOR

    Since since 07/25/2017

    Individual
  • CHAMBERS, MARI

    CORPORATE OFFICER

    Since since 01/31/2022

    Individual
  • PETERSON-DEVRIES, CAMILLA

    CORPORATE OFFICER

    Since since 02/16/2022

    Individual
  • RAW, CAROL

    CORPORATE OFFICER

    Since since 10/02/2017

    Individual
  • CHAMBERS, MARI

    W-2 MANAGING EMPLOYEE

    Since since 01/31/2022

    Individual
  • PETERSON-DEVRIES, CAMILLA

    W-2 MANAGING EMPLOYEE

    Since since 02/16/2022

    Individual
  • RAW, CAROL

    W-2 MANAGING EMPLOYEE

    Since since 10/02/2017

    Individual
  • WAGNER, SHERRY

    W-2 MANAGING EMPLOYEE

    Since since 02/01/2022

    Individual

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