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Deficiency Records for The Friendly Home

A list of the most recent deficiencies for The Friendly Home. 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 The Friendly Home. 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?
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-12-26 2024-02-23 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 2023-12-26 2024-02-23 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2023-12-26 2024-02-23 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2023-12-26 2024-02-23 N
Provide and implement an infection prevention and control program. Health 2023-12-26 2024-02-23 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2023-12-26 2024-02-23 N
Keep all essential equipment working safely. Health 2023-12-26 2024-02-23 N
Have corridors or aisles that are unobstructed and are at least 8 feet in width. Fire Safety 2023-12-26 2024-02-23 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-12-26 2024-02-23 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2023-12-26 2024-02-23 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-03-02 2022-04-30 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-03-02 2022-04-30 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-03-02 2022-04-12 Y
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2022-03-02 2022-04-12 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-03-02 2022-04-12 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-03-02 2022-04-12 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-09-17 2019-10-30 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 2019-09-17 2019-10-30 N
Provide and implement an infection prevention and control program. Health 2019-09-17 2019-10-30 N

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