St. Francis Manor I

This was a closure visit initiated by the Licensee. The inspector conducted a walk-through and confirmed that no residents were present, as the facility had already relocated all residents prior to the inspection date. No deficiencies were cited during this visit.

The inspection was a case management visit conducted unannounced following the passing of the administrator and withdrawal of a new license application. The visit was conducted by an LPA and included discussions with the caregiver and facility manager. No specific deficiencies were cited in the provided report content.

This report details an unannounced complaint investigation conducted on 08/01/2025, with the report finalized on 08/11/2025. The allegation that the facility was malodorous was investigated by touring the premises and interviewing staff. Based on the findings, the allegation was determined to be unsubstantiated.

The facility underwent a Case Management visit on June 11, 2025, to follow up on the recent death of the facility Licensee. The Licensing Program Analyst confirmed that the facility is adequately staffed and discussed the process for the facility to apply for licensure. No deficiencies were cited during this visit.

The inspection was an unannounced Annual Required inspection conducted on 01/03/2025. While the facility was generally found to be clean with appropriate safety equipment and supplies, a critical deficiency was noted regarding the resident's medical assessment documentation. The facility must provide the missing physician signature on the resident's medical assessment.

The facility underwent a Case Management visit on March 6, 2024, to review an amended report from a previous Annual inspection. The report explicitly states that no deficiencies were cited during this visit.

The inspection identified two critical deficiencies, both classified as Type A citations. Specifically, the facility lacks required Carbon Monoxide detectors and failed to document or demonstrate compliance with quarterly emergency drills. Immediate corrective action is required for these safety hazards.

The unannounced case management visit found that the facility failed to complete a pre-admission appraisal for resident #1 (R1). This deficiency was cited under CCR 87457(a), which requires pre-admission interviews. The facility must submit a plan of correction to CCL by 2/1/2023.