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Deficiency Records for Friendship Village Retirement

A list of the most recent deficiencies for Friendship Village Retirement. 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 Village Retirement. 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?
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2024-07-16 2024-07-31 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-07-16 2024-07-16 Y
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-08-17 2023-09-17 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-08-17 2023-09-17 N
Provide a written emergency evacuation plan. Fire Safety 2023-08-17 2023-09-17 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-08-17 2023-09-17 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-08-17 2023-09-17 N
Have restrictions on the use of portable space heaters. Fire Safety 2023-08-17 2023-09-17 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-08-17 2023-09-17 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-08-17 2023-09-17 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-08-10 2023-08-30 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2023-08-10 2023-08-30 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-08-10 2023-08-30 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-08-17 2023-08-25 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-08-17 2023-08-25 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-08-17 2023-08-25 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-05-05 2022-06-24 Y
Have proper medical gas storage and administration areas. Fire Safety 2022-05-04 2022-05-25 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 2022-05-05 2022-05-24 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-05-05 2022-05-24 N
Provide and implement an infection prevention and control program. Health 2022-05-05 2022-05-24 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2022-05-05 2022-05-24 Y
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-05-04 2022-05-20 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-05-04 2022-05-05 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2020-10-12 2020-12-23 N
Ensure medication error rates are not 5 percent or greater. Health 2020-10-12 2020-12-23 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2020-10-12 2020-12-23 N
Provide and implement an infection prevention and control program. Health 2020-10-12 2020-12-23 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 2020-10-14 2020-10-15 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2020-10-14 2020-10-15 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2020-10-14 2020-10-15 N

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