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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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