Deficiency Records for Friendship Home Association
Updated as of September 01, 2020
This is not the most recent data for Friendship Home Association. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Establish policies and procedures for volunteers. | Fire Safety | 2019-06-20 | 2019-07-19 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-06-20 | 2019-07-19 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-06-20 | 2019-07-19 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-06-20 | 2019-07-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-20 | 2019-07-17 | N |
| Meet other general requirements. | Fire Safety | 2019-06-20 | 2019-07-02 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-06-20 | 2019-07-02 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-06-20 | 2019-07-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-20 | 2019-07-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-20 | 2019-07-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-20 | 2019-06-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-20 | 2019-06-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-15 | 2019-06-17 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-06-15 | 2019-06-17 | 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 | 2019-06-15 | 2019-06-17 | 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 | 2019-06-15 | 2019-06-17 | 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 | 2019-06-15 | 2019-06-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-15 | 2019-06-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-09 | 2018-11-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-09 | 2018-11-01 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-03-14 | 2018-03-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-03-14 | 2018-03-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-03-14 | 2018-03-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-03-14 | 2018-03-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-03-14 | 2018-03-16 | N |
| Use approved construction type or materials. | Fire Safety | 2018-03-14 | 2018-03-14 | 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 | 2017-01-10 | 2017-02-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-01-10 | 2017-02-09 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-01-05 | 2017-02-05 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-01-05 | 2017-02-05 | 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 | 2017-01-10 | 2017-01-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-01-10 | 2017-01-10 | N |
