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Deficiency Records for Friendship Manor
A list of the most recent deficiencies for Friendship Manor. 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 Manor. 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? |
|---|---|---|---|---|
| Address subsistence needs for staff and patients. | Fire Safety | 2024-07-24 | 2024-09-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-24 | 2024-08-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-24 | 2024-08-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-24 | 2024-08-14 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-07-24 | 2024-08-14 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-07-24 | 2024-08-14 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-07-24 | 2024-08-13 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-07-24 | 2024-08-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-07-24 | 2024-08-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-24 | 2024-07-25 | 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 | 2023-07-19 | 2023-08-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-19 | 2023-08-11 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-07-19 | 2023-08-09 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-07-18 | 2023-07-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-07-18 | 2023-07-19 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-07-18 | 2023-07-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-16 | 2023-05-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-08 | 2023-01-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-06 | 2022-10-31 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-05-09 | 2022-05-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-09 | 2022-05-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-09 | 2022-05-27 | 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 | 2022-05-09 | 2022-05-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-09 | 2022-05-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-09 | 2022-05-27 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-05-09 | 2022-05-27 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-09 | 2022-05-27 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-05-09 | 2022-05-24 | N |
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