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Deficiency Records for Friendship Health Center

A list of the most recent deficiencies for Friendship Health Center. 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 Health Center. 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?
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2024-07-30 2024-09-17 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-07-30 2024-09-17 Y
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2024-07-30 2024-09-17 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-07-30 2024-09-17 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-09-18 2023-10-24 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2023-09-18 2023-10-24 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-09-18 2023-10-24 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-09-18 2023-10-24 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-09-18 2023-10-24 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-09-18 2023-10-24 Y
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2023-09-18 2023-10-24 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2023-06-30 2023-07-24 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-06-30 2023-07-24 Y
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2023-06-30 2023-07-24 Y
Ensure each resident receives an accurate assessment. Health 2023-06-30 2023-07-24 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-06-30 2023-07-24 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-06-30 2023-07-24 Y
Provide activities to meet all resident's needs. Health 2023-06-30 2023-07-24 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-06-30 2023-07-24 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-06-30 2023-07-24 Y
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Health 2023-06-30 2023-07-24 Y
Ensure medication error rates are not 5 percent or greater. Health 2023-06-30 2023-07-24 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-06-30 2023-07-24 Y
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-07-06 2023-07-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-07-06 2023-07-24 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-07-06 2023-07-24 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-07-06 2023-07-18 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 2023-07-06 2023-07-18 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2023-07-06 2023-07-18 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-07-06 2023-07-18 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2023-07-06 2023-07-18 N
Protect each resident from the wrongful use of the resident's belongings or money. Health 2023-02-14 2023-04-04 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2022-05-04 2022-06-23 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-05-04 2022-06-23 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2022-05-04 2022-06-23 N
Respond appropriately to all alleged violations. Health 2022-05-04 2022-06-23 Y
Ensure medication error rates are not 5 percent or greater. Health 2022-05-04 2022-06-23 Y
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2022-04-27 2022-06-23 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-04-27 2022-06-23 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-04-27 2022-06-23 N
Have proper medical gas storage and administration areas. Fire Safety 2022-04-27 2022-06-23 N
Provide and implement an infection prevention and control program. Health 2022-05-04 2022-06-17 Y
Reasonably accommodate the needs and preferences of each resident. Health 2019-09-16 2019-11-05 N
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Health 2019-09-16 2019-11-05 N
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. Health 2019-09-16 2019-11-05 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 2019-09-16 2019-11-05 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2019-09-16 2019-11-05 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2019-09-16 2019-11-05 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-09-16 2019-11-05 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2019-09-16 2019-11-05 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 2019-09-16 2019-11-05 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-09-16 2019-11-05 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-09-16 2019-11-05 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-09-16 2019-11-05 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 2019-09-16 2019-11-05 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-09-16 2019-11-05 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 2019-09-16 2019-11-05 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2019-09-16 2019-11-05 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2019-09-16 2019-11-05 N
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Health 2019-09-16 2019-11-05 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2019-09-16 2019-11-05 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2019-09-16 2019-11-05 N
Observe each nurse aide's job performance and give regular training. Health 2019-09-16 2019-11-05 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2019-09-16 2019-11-05 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-09-16 2019-11-05 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2019-09-16 2019-11-05 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2019-09-16 2019-11-05 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 2019-09-16 2019-11-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-09-16 2019-11-05 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-09-16 2019-11-05 N
Address subsistence needs for staff and patients. Fire Safety 2019-09-10 2019-11-05 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2019-09-10 2019-11-05 N
Provide emergency officials' contact information. Fire Safety 2019-09-10 2019-11-05 N
Provide primary/alternate means for communication. Fire Safety 2019-09-10 2019-11-05 N
Provide family notifications of emergency plan. Fire Safety 2019-09-10 2019-11-05 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2019-09-10 2019-11-05 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 2019-09-10 2019-11-05 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-09-10 2019-11-05 N
Have power receptacles that are properly grounded. Fire Safety 2019-09-10 2019-11-05 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-09-10 2019-11-05 N
Meet requirements for the use of electrical equipment. Fire Safety 2019-09-10 2019-11-05 N
Have proper medical gas storage and administration areas. Fire Safety 2019-09-10 2019-11-05 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-09-16 2019-10-07 N
Ensure that residents are free from significant medication errors. Health 2019-09-16 2019-10-07 N

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