Deficiency Records for Friendship Home Association
Updated as of June 01, 2023
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? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-07 | 2022-08-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-07 | 2022-08-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-07 | 2022-08-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-30 | 2022-07-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-30 | 2022-07-07 | Y |
| 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 |
