A list of the most recent deficiencies for Friendship Health and Rehab. 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? |
|---|---|---|---|---|
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-16 | 2023-05-31 | Y |
| 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 | 2023-04-16 | 2023-05-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-16 | 2023-05-31 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-04-19 | 2023-05-31 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-04-19 | 2023-05-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-19 | 2023-05-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-19 | 2023-05-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-06 | 2022-02-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-04 | 2018-11-16 | 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 | 2018-10-04 | 2018-11-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-04 | 2018-11-16 | 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 | 2018-10-04 | 2018-11-16 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-10-02 | 2018-11-16 | 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 | 2018-10-02 | 2018-11-16 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2018-10-02 | 2018-11-16 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-10-02 | 2018-11-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-10-02 | 2018-11-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-02 | 2018-11-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-10-02 | 2018-11-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-10-02 | 2018-11-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-02 | 2018-11-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-10-02 | 2018-11-16 | N |
