Deficiency Records for Friendship Home Association
Updated as of October 01, 2021
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? |
---|---|---|---|---|
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-01-11 | 2021-02-01 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-01-07 | 2021-01-29 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-01-07 | 2021-01-29 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-01-07 | 2021-01-29 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-01-07 | 2021-01-29 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-01-11 | 2021-01-21 | N |
Use approved construction type or materials. | Fire Safety | 2021-01-11 | 2021-01-19 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2021-01-11 | 2021-01-19 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-01-11 | 2021-01-19 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-01-11 | 2021-01-19 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-01-11 | 2021-01-18 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-08-17 | 2020-09-08 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-08-17 | 2020-09-08 | Y |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-20 | 2019-07-26 | N |
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 |