Independent · Federal inspection records, searchable
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Facility profile · CCN 525528

Franciscan Woods

52 federal citations on record , and 3 federal enforcement actions totaling $118,144.

Record summary

Federal record · Q1 2026
52
Total citations
36
Last 3 years
6
Actual harm+
3
Federal penalties
$118,144
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

52 on record
SurveyF-TagViolationSeveritySource
Dec 22, 2025F759Ensure medication error rates are not 5 percent or greater.DComplaint
Dec 22, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Dec 3, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
May 6, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
May 6, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
May 6, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Mar 20, 2025F880Provide and implement an infection prevention and control program.FComplaint
Mar 20, 2025F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DComplaint
Mar 20, 2025F692Provide enough food/fluids to maintain a resident's health.GComplaint
Mar 20, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Mar 20, 2025F610Respond appropriately to all alleged violations.EComplaint
Mar 20, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Mar 20, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint
Mar 20, 2025F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DComplaint
Feb 11, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Feb 11, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jan 14, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
Dec 23, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Nov 14, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
Nov 14, 2024F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.GComplaint
Nov 14, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Nov 14, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Nov 14, 2024F880Provide and implement an infection prevention and control program.EStandard
Nov 14, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Nov 14, 2024F758Implement 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
Nov 14, 2024F732Post nurse staffing information every day.CStandard
Nov 14, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Nov 14, 2024F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DStandard
Apr 5, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Oct 5, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Oct 5, 2023F610Respond appropriately to all alleged violations.EComplaint
Oct 5, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Oct 5, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.CComplaint
Oct 5, 2023F758Implement 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
Oct 5, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Oct 5, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Mar 7, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jul 18, 2022F880Provide and implement an infection prevention and control program.DStandard
Jul 18, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Jul 18, 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
Jul 18, 2022F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Jul 18, 2022F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard
Jul 18, 2022F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jul 18, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard
Jul 18, 2022F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard
Jul 18, 2022F660Plan the resident's discharge to meet the resident's goals and needs.DStandard
Jul 18, 2022F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard
Jul 18, 2022F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Jul 18, 2022F610Respond appropriately to all alleged violations.DStandard
Jul 18, 2022F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Jul 18, 2022F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard
Jul 18, 2022F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 1 civil money penalties totaling $118,144 and 2 payment-denial actions spanning 128 days.

DateTypeFinePayment denial
Feb 11, 2025Fine$118,144
Feb 11, 2025Payment DenialMar 13, 2025 · 97 days
Nov 14, 2024Payment DenialDec 14, 2024 · 31 days
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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