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Deficiency Records for Friendship Health and Rehab

A list of the most recent deficiencies for Friendship Health and Rehab. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Friendship Health and Rehab. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-04-16 2023-05-31 Y
Implement 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. Health 2023-04-16 2023-05-31 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-04-16 2023-05-31 Y
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-04-19 2023-05-31 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-04-19 2023-05-31 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-04-19 2023-05-31 N
Have proper medical gas storage and administration areas. Fire Safety 2023-04-19 2023-05-31 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-01-06 2022-02-20 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-10-04 2018-11-16 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2018-10-04 2018-11-16 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2018-10-04 2018-11-16 N
Implement 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. Health 2018-10-04 2018-11-16 N
Establish an Emergency Preparedness Program (EP). Fire Safety 2018-10-02 2018-11-16 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2018-10-02 2018-11-16 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2018-10-02 2018-11-16 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2018-10-02 2018-11-16 N
Install an approved automatic sprinkler system. Fire Safety 2018-10-02 2018-11-16 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-10-02 2018-11-16 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2018-10-02 2018-11-16 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2018-10-02 2018-11-16 N
Ensure proper usage of power strips and extension cords. Fire Safety 2018-10-02 2018-11-16 N
Have proper medical gas storage and administration areas. Fire Safety 2018-10-02 2018-11-16 N

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