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Deficiency Records for Friendship Village of Bloomington
A list of the most recent deficiencies for Friendship Village of Bloomington. 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 of Bloomington. 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? |
|---|---|---|---|---|
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2024-04-16 | 2024-07-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-16 | 2024-07-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-04-16 | 2024-06-28 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-04-16 | 2024-06-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-16 | 2024-06-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-02 | 2024-05-29 | N |
| Respond appropriately to all alleged violations. | Health | 2024-05-02 | 2024-05-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-02 | 2024-05-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-02 | 2024-05-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-02 | 2024-05-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-02 | 2024-05-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-02 | 2024-05-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-02 | 2024-05-29 | 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 | 2024-05-02 | 2024-05-29 | 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 | 2024-05-02 | 2024-05-29 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-05-02 | 2024-05-29 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-04-16 | 2024-05-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-16 | 2024-04-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-16 | 2024-04-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-16 | 2024-04-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-20 | 2023-05-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-04-20 | 2023-05-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-20 | 2023-05-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-20 | 2023-05-31 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-04-20 | 2023-05-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-18 | 2023-05-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-18 | 2023-05-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-04-18 | 2023-05-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-23 | 2021-11-05 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-09-23 | 2021-11-05 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2021-09-23 | 2021-10-27 | 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 | 2021-09-23 | 2021-10-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-23 | 2021-10-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-09-23 | 2021-10-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-23 | 2021-10-27 | N |
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