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Mount St Francis Nursing Center
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Ratings Deep Dive
5 Deficiencies found in last inspections
0 Penalties in last 3 years
0 Fines issued
| Citation | Date | Description | Severity |
|---|---|---|---|
| — | Mar 6, 2025 | 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. | D |
| — | Mar 6, 2025 | Provide and implement an infection prevention and control program. | D |
| — | Mar 6, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| — | Mar 6, 2025 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D |
| — | Mar 6, 2025 | Observe each nurse aide's job performance and give regular training. | E |
1.3 RN Hours / Resident / Day
4.1 Total Nurse Hours / Resident / Day
33.3% RN Turnover Rate
2.0 Long-Stay QM Rating
— Short-Stay QM Rating
98.8 Avg Residents Per Day
| Measure | Score | Type |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | — | Long Stay |
| Percentage of long-stay residents who lose too much weight | — | Long Stay |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | — | Long Stay |
| Percentage of long-stay residents with a urinary tract infection | — | Long Stay |
| Percentage of long-stay residents who have depressive symptoms | — | Long Stay |
| Percentage of long-stay residents who were physically restrained | — | Long Stay |
| Percentage of long-stay residents experiencing one or more falls with major injury | — | Long Stay |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | — | Long Stay |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | — | Short Stay |
| Percentage of short-stay residents who newly received an antipsychotic medication | — | Short Stay |
Ownership & Compliance
Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST COMMONSPIRIT HEALTH
OPERATIONAL/MANAGERIAL CONTROL COMMONSPIRIT MOUNTAIN REGION
OPERATIONAL/MANAGERIAL CONTROL CARPENTER, DEBRA
CORPORATE DIRECTOR MCGINN, THOMAS
CORPORATE DIRECTOR MELFI, MITCH
CORPORATE DIRECTOR MORISSETTE, DANIEL
CORPORATE OFFICER DONOHOE, THOMAS
CORPORATE OFFICER GAASCH, ANDREW
W-2 MANAGING EMPLOYEE BEHRE, ALMAZ
W-2 MANAGING EMPLOYEE SHEPHERD, DAVID
Recent Penalties
No penalty records found.
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