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St Francis Nursing Ctr

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About St Francis Nursing Ctr

General Information

Legal Business NameMary Immaculate Nursing Center Inc
Ownership TypeNon Profit - Church Related
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareNovember 21, 1989 (27 years)
Capacity115
Residents94
Percent Occupied82%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for St Francis Nursing Ctr

St Francis Nursing Ctr
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Virginia Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

March 2, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
DFewPotential for HarmFire Safety InspectionExits that are accessible at all times.
DFewPotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
DFewPotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.

October 30, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionGive proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.

January 9, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionProperly protected cooking facilities.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionBack-up procedures in place for a faulty automatic sprinkler system.
DFewPotential for HarmFire Safety InspectionAn approved back-up procedure for a faulty fire alarm system.
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
DFewPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
DFewPotential for HarmFire Safety InspectionExits that are accessible at all times.
DFewPotential for HarmFire Safety InspectionA written emergency evacuation plan.
DFewPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
DFewPotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.

December 13, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
ESomePotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of St Francis Nursing Ctr require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

1hr 35min
2hr 25min
ReportedExpected
CNA
1hr 5min
40min
ReportedExpected
LPN
20min
1hr 5min
ReportedExpected
RN
3hr
4hr 5min
ReportedExpected
Total Nursing

This facility also provides approximately 20min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
93.8%
Q1 2015Q2 2015Q3 2015VA
Assessed and Appropriately Given the Seasonal Influenza Vaccine
96.1%
96.2%
97.6%
92.0%
Q1 2015Q2 2015Q3 2015VA
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
52.4%
Q1 2015Q2 2015Q3 2015VA
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
17.3%
18.4%
17.1%
17.3%
Q1 2015Q2 2015Q3 2015VA
Received an Antipsychotic Medication
29.2%
18.6%
51.9%
17.6%
Q1 2015Q2 2015Q3 2015VA
Need for Help with ADLs has Increased
11.5%
22.3%
11.7%
9.2%
Q1 2015Q2 2015Q3 2015VA
Self Report Moderate to Severe Pain
10.5%
4.8%
9.3%
7.9%
Q1 2015Q2 2015Q3 2015VA
Lose Too Much Weight
5.2%
6.7%
4.8%
6.2%
Q1 2015Q2 2015Q3 2015VA
High Risk Residents With Pressure Ulcers
3.9%
2.7%
0.0%
2.9%
Q1 2015Q2 2015Q3 2015VA
Have Depressive Symptoms
9.6%
1.3%
1.2%
6.1%
Q1 2015Q2 2015Q3 2015VA
With a Urinary Tract Infection
2.6%
3.8%
4.8%
3.5%
Q1 2015Q2 2015Q3 2015VA
Experiencing One or More Falls with Major Injury
2.9%
0.0%
0.0%
2.8%
Q1 2015Q2 2015Q3 2015VA
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.6%
Q1 2015Q2 2015Q3 2015VA
Were Physically Restrained

Quality Measures for Short Stay Residents

97.4%
96.3%
95.6%
81.6%
Q1 2015Q2 2015Q3 2015VA
Assessed and Appropriately Given the Pneumococcal Vaccine
96.5%
89.0%
89.0%
81.9%
Q1 2015Q2 2015Q3 2015VA
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
27.9%
27.9%
23.8%
17.4%
Q1 2015Q2 2015Q3 2015VA
Self Report Moderate to Severe Pain
1.8%
1.7%
2.7%
2.1%
Q1 2015Q2 2015Q3 2015VA
Newly Received an Antipsychotic Medication
0.9%
1.2%
0.8%
1.0%
Q1 2015Q2 2015Q3 2015VA
With Pressure Ulcers That Are New or Worsened