Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 525526

Chi Franciscan Villa

69 federal citations on record , including 7 at the Immediate Jeopardy level, and 5 federal enforcement actions totaling $271,775.

Abuse Icon 7 Immediate Jeopardy

Record summary

Federal record · Q1 2026
69
Total citations
47
Last 3 years
11
Actual harm+
5
Federal penalties
$271,775
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care23 Abuse & Neglect14 Resident Rights8 Medication & Pharmacy7 Infection Control6

Most common F-tags at this facility

F6896 F8805 F6094 F6104 F6844

Citation history

69 on record
SurveyF-TagViolationSeveritySource
Dec 23, 2025F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.DComplaint
Nov 13, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Oct 17, 2025F880Provide and implement an infection prevention and control program.DComplaint
Oct 17, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Oct 17, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jul 16, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Jul 16, 2025F610Respond appropriately to all alleged violations.EComplaint
Jul 16, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jul 16, 2025F602Protect each resident from the wrongful use of the resident's belongings or money.EComplaint
May 30, 2025F880Provide and implement an infection prevention and control program.DComplaint
May 30, 2025F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FComplaint
May 30, 2025F692Provide enough food/fluids to maintain a resident's health.DComplaint
May 30, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
May 30, 2025F641Ensure each resident receives an accurate assessment.DComplaint
Feb 20, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Feb 20, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Feb 20, 2025F880Provide and implement an infection prevention and control program.FStandard
Feb 20, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Feb 20, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Feb 20, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Nov 8, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Nov 8, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Jun 20, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Jun 20, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Dec 5, 2023F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FComplaint
Dec 5, 2023F759Ensure medication error rates are not 5 percent or greater.DComplaint
Dec 5, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Dec 5, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint
Dec 5, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 5, 2023F610Respond appropriately to all alleged violations.DComplaint
Dec 5, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Dec 5, 2023F554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint
Dec 5, 2023F880Provide and implement an infection prevention and control program.DStandard
Dec 5, 2023F761Ensure 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.EStandard
Dec 5, 2023F732Post nurse staffing information every day.CStandard
Dec 5, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Dec 5, 2023F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
Dec 5, 2023F558Reasonably accommodate the needs and preferences of each resident.DStandard
Sep 5, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint
Jul 12, 2023F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.EComplaint
Jul 12, 2023F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EComplaint
Jul 12, 2023F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.EComplaint
Jul 12, 2023F730Observe each nurse aide's job performance and give regular training.EComplaint
Jul 12, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Jul 12, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint
May 4, 2023F610Respond appropriately to all alleged violations.DComplaint
May 4, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Aug 25, 2022F886Perform COVID19 testing on residents and staff.FStandard
Aug 25, 2022F880Provide and implement an infection prevention and control program.FStandard
Aug 25, 2022F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Aug 25, 2022F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Aug 25, 2022F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Aug 25, 2022F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Aug 25, 2022F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Aug 25, 2022F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Aug 25, 2022F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Aug 25, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KStandard
Aug 25, 2022F688Provide 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.DStandard
Aug 25, 2022F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
Aug 25, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard
Aug 25, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Aug 25, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Aug 25, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Aug 25, 2022F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.CStandard
Aug 25, 2022F610Respond appropriately to all alleged violations.DStandard
Aug 25, 2022F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Aug 25, 2022F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JStandard
Aug 25, 2022F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Aug 25, 2022F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard

Federal enforcement history

Federal regulators have imposed 5 enforcement actions against this facility, including 4 civil money penalties totaling $271,775 and 1 payment-denial actions spanning 11 days.

DateTypeFinePayment denial
Feb 20, 2025Fine$44,532—
Nov 8, 2024Fine$121,797—
Dec 5, 2023Fine$15,593—
Dec 5, 2023Payment Denial—Jan 3, 2024 · 11 days
Jul 12, 2023Fine$89,853—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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