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Deficiency Records for Friendship Home Association
A list of the most recent deficiencies for Friendship Home Association. 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 Home Association. 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? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2024-08-06 | 2024-08-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-06 | 2024-08-26 | 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 | 2024-08-01 | 2024-08-22 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-08-01 | 2024-08-22 | 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 | 2024-08-01 | 2024-08-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-01 | 2024-08-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-06 | 2024-08-16 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-08-06 | 2024-08-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-08-06 | 2024-08-15 | 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 | 2024-08-06 | 2024-08-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-08-06 | 2024-08-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-08-06 | 2024-08-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-06 | 2024-08-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-09 | 2023-12-19 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-11-09 | 2023-12-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-09 | 2023-12-04 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-11-09 | 2023-12-04 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-11-09 | 2023-12-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-13 | 2023-11-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-13 | 2023-11-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-20 | 2023-08-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-20 | 2023-08-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-20 | 2023-08-16 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-20 | 2023-08-16 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-07 | 2022-08-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-07 | 2022-08-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-07 | 2022-08-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-30 | 2022-07-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-30 | 2022-07-07 | Y |
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