St. Francis Care/Brackenville

Health Inspections

! Special Focus Facility: This home is being closely monitored because of a history of bad care.

Health Inspections 1
Health Deficiencies
This Nursing Home: 16
DE State Average: 13
U.S. Average: 6
DE Deficiencies Range: 2–29
Complaints & Incidents: 6
Updated April 18, 2013.

Our health inspections rating describes how well this home met health and safety standards for food preparation and other nursing-home activities in the latest three state inspections. Such inspections are conducted about every 15 months.

December 26, 2012 Health Inspection

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Have a program that investigates, controls and keeps infection from spreading.	Low	Many	3/11/2013
Store, cook, and serve food in a safe and clean way.	Low	Many	3/11/2013
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.	Low	Some	3/11/2013
Develop policies and procedures for influenza and pneumococcal immunizations.	Low	Some	3/11/2013
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.	Low	Some	3/11/2013
Ensure that residents are safe from serious medication errors.	Low	Some	3/11/2013
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.	Low	Few	3/11/2013
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.	Low	Few	3/11/2013
Allow residents the right to participate in the planning or revision of care and treatment.	Low	Few	3/11/2013
1) review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.	Low	Few	3/11/2013
1) hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.	Low	Few	3/11/2013
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.	Low	Few	3/11/2013
Reasonably accommodate the needs and preferences of each resident.	Low	Few	3/11/2013
Provide medically-related social services to help each resident achieve the highest possible quality of life.	Low	Few	3/11/2013
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents.	Low	Few	3/11/2013
Ensure 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.	Low	Few	3/11/2013

November 07, 2011 Health Inspection

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Store, cook, and serve food in a safe and clean way.	Low	Many	1/25/2012
Have a program that investigates, controls and keeps infection from spreading.	Low	Some	1/25/2012
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.	Low	Some	1/25/2012
Provide housekeeping and maintenance services.	Low	Some	1/25/2012
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.	Low	Some	1/25/2012
Keep all essential equipment working safely.	Low	Some	1/25/2012
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.	Low	Some	1/25/2012
Allow residents the right to participate in the planning or revision of care and treatment.	Low	Few	1/25/2012
1) hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.	Low	Few	1/25/2012
Develop policies and procedures for influenza and pneumococcal immunizations.	Low	Few	1/25/2012
Ensure each resident receives an accurate assessment by a qualified health professional.	Low	Few	1/25/2012
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.	Low	Few	1/25/2012
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Low	Few	1/25/2012
Provide activities to meet the interests and needs of each resident.	Low	Few	1/25/2012
Provide or obtain dental services for each resident.	Low	Few	1/25/2012
Give residents a notice of rights, rules, services and charges.	Very Low	Some	1/25/2012

June 15, 2010 Health Inspection

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Have a program that investigates, controls and keeps infection from spreading.	Low	Many	8/17/2010
Keep all essential equipment working safely.	Low	Some	8/17/2010
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Low	Some	8/17/2010
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.	Low	Some	8/17/2010
Have enough outside ventilation via a window or mechanical ventilation, or both.	Low	Some	8/17/2010
Store, cook, and serve food in a safe and clean way.	Low	Some	8/17/2010
Ensure 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.	Low	Some	8/17/2010
Allow residents the right to participate in the planning or revision of care and treatment.	Low	Some	8/17/2010
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.	Low	Some	8/17/2010
Train all employees on what to do in an emergency, and carry out unannounced staff drills.	Low	Some	8/17/2010
1) hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.	Low	Few	8/17/2010
Conduct initial and periodic assessments of each resident's functional capacity.	Low	Few	8/17/2010
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.	Low	Few	8/17/2010
Provide food in a way that meets a resident's needs.	Low	Few	8/17/2010
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.	Low	Few	8/17/2010
Keep residents' personal and medical records private and confidential.	Low	Few	8/17/2010
Keep accurate, complete and organized clinical records on each resident that meet professional standards.	Low	Few	8/17/2010
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	Low	Few	8/17/2010
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Low	Few	8/17/2010
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.	Low	Few	8/17/2010
Provide necessary care and services to maintain or improve the highest well being of each resident.	Low	Few	8/17/2010
Provide residents with private access to a telephone.	Low	Few	8/17/2010
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.	Low	Few	8/17/2010
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.	Low	Few	8/17/2010
Ensure each resident receives an accurate assessment by a qualified health professional.	Low	Few	8/17/2010
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	Very Low	Some	8/17/2010
Dispose of garbage and refuse properly.	Very Low	Some	8/17/2010
Post nurse staffing information/data on a daily basis.	Very Low	Some	8/17/2010
Provide housekeeping and maintenance services.	Very Low	Some	8/17/2010

September 25, 2012 Complaints & Incidents

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Low	Few	11/9/2012
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.	Low	Few	11/9/2012
Have a program that investigates, controls and keeps infection from spreading.	Low	Few	11/9/2012
Keep accurate, complete and organized clinical records on each resident that meet professional standards.	Low	Few	11/9/2012
Allow residents the right to participate in the planning or revision of care and treatment.	Low	Few	11/9/2012
Provide necessary care and services to maintain or improve the highest well being of each resident.	Low	Few	11/9/2012

March 26, 2012 Complaints & Incidents

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.	Some	Few	6/22/2012
Allow residents the right to participate in the planning or revision of care and treatment.	Low	Few	6/22/2012
Reasonably accommodate the needs and preferences of each resident.	Low	Few	6/22/2012
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.	Low	Few	6/22/2012
Make sure that a working call system is available in each resident's room or bathroom and bathing area.	Low	Few	6/22/2012
Provide food in a way that meets a resident's needs.	Low	Few	6/22/2012
Ensure that residents are safe from serious medication errors.	Low	Few	6/22/2012
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.	Some	Few	6/22/2012

October 26, 2011 Complaints & Incidents

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Have a program that investigates, controls and keeps infection from spreading.	Low	Some	1/25/2012
Keep accurate, complete and organized clinical records on each resident that meet professional standards.	Low	Few	1/25/2012
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	Low	Few	1/25/2012
Reasonably accommodate the needs and preferences of each resident.	Low	Few	1/25/2012
Ensure each resident receives an accurate assessment by a qualified health professional.	Low	Few	1/25/2012
Assess in a timely manner the resident when the resident enters the nursing home.	Low	Few	1/25/2012
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Low	Few	1/25/2012

May 13, 2011 Complaints & Incidents

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Ensure services provided by the nursing facility meet professional standards of quality.	Low	Few	7/26/2011
Provide necessary care and services to maintain or improve the highest well being of each resident.	Low	Few	9/14/2011
Ensure that residents are safe from serious medication errors.	Low	Few	7/26/2011
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.	Some	Few	9/14/2011
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.	Low	Few	7/26/2011
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.	Low	Few	7/26/2011
Keep accurate, complete and organized clinical records on each resident that meet professional standards.	Low	Few	9/14/2011
1) hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.	Low	Few	7/26/2011
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	Low	Few	9/14/2011
Allow residents the right to participate in the planning or revision of care and treatment.	Low	Few	9/14/2011

October 28, 2010 Complaints & Incidents

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Have a program that investigates, controls and keeps infection from spreading.	Low	Few	2/25/2011
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	Low	Few	2/25/2011
Protect each resident from all abuse, physical punishment, and involuntary separation from others.	Low	Few	2/25/2011
1) hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.	Low	Few	2/25/2011
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.	Low	Few	2/25/2011
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Low	Few	2/25/2011
Ensure services provided by the nursing facility meet professional standards of quality.	Low	Few	2/25/2011
Provide necessary care and services to maintain or improve the highest well being of each resident.	Low	Few	2/25/2011
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.	Low	Few	2/25/2011
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Low	Some	2/25/2011
Ensure that residents are safe from serious medication errors.	Low	Some	2/25/2011
Have enough nurses to care for every resident in a way that maximizes the resident's well being.	Low	Some	2/25/2011
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.	Low	Few	2/25/2011
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.	Low	Some	3/25/2011
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.	Low	Few	2/25/2011
Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility.	Low	Some	12/27/2010
Keep accurate, complete and organized clinical records on each resident that meet professional standards.	Low	Few	2/25/2011
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.	Low	Some	12/27/2010

October 22, 2010 Complaints & Incidents

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Provide necessary care and services to maintain or improve the highest well being of each resident.	High	Some	2/25/2011

September 24, 2010 Complaints & Incidents

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Provide necessary care and services to maintain or improve the highest well being of each resident.	Low	Few	2/25/2011
Keep accurate, complete and organized clinical records on each resident that meet professional standards.	Low	Few	2/25/2011
Have a program that investigates, controls and keeps infection from spreading.	Low	Few	2/25/2011
Ensure services provided by the nursing facility meet professional standards of quality.	Low	Few	2/25/2011

June 15, 2010 Complaints & Incidents

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Allow residents the right to participate in the planning or revision of care and treatment.	Low	Some	8/17/2010
1) hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.	Low	Few	8/17/2010
Keep accurate, complete and organized clinical records on each resident that meet professional standards.	Low	Few	8/17/2010

March 24, 2010 Complaints & Incidents

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Provide necessary care and services to maintain or improve the highest well being of each resident.	Low	Few	5/4/2010
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Low	Few	5/4/2010
Provide housekeeping and maintenance services.	Low	Few	5/4/2010
Reasonably accommodate the needs and preferences of each resident.	Low	Few	5/4/2010
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	Low	Few	5/4/2010
1) hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.	Low	Few	5/4/2010
Keep accurate, complete and organized clinical records on each resident that meet professional standards.	Low	Some	5/4/2010
Have a program that investigates, controls and keeps infection from spreading.	Low	Few	5/4/2010
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.	Low	Few	5/4/2010
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.	Low	Few	5/4/2010
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.	Low	Few	5/4/2010
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Low	Few	5/4/2010
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.	Low	Few	5/4/2010

Note: Because of differences in calculation, all data may not match those shown on Nursing Home Compare, a website run by the federal Centers for Medicare & Medicaid Services. CMS has approved the U.S. News methodology.

Last updated April 18, 2013.