A list of the most recent deficiencies for Friendship Haven, Inc. 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? |
|---|---|---|---|---|
| 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 | 2024-02-01 | 2024-03-01 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-02-01 | 2024-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-25 | 2024-02-21 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-01-25 | 2024-02-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-25 | 2024-02-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-25 | 2024-02-21 | 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 | 2024-02-01 | 2024-02-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-02-01 | 2024-02-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-18 | 2023-05-24 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-09-15 | 2022-10-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-16 | 2022-10-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-09-16 | 2022-09-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-16 | 2022-09-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-16 | 2022-09-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-16 | 2022-09-23 | 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 | 2022-09-16 | 2022-09-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-16 | 2022-09-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-09-16 | 2022-09-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-24 | 2021-07-07 | Y |
| 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 | 2021-04-26 | 2021-05-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-26 | 2021-05-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-26 | 2021-05-13 | 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 | 2021-04-26 | 2021-05-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-26 | 2021-05-13 | 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 | 2021-04-26 | 2021-05-13 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-04-26 | 2021-05-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-26 | 2021-05-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-26 | 2021-05-13 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-23 | 2021-05-07 | N |
| Use approved construction type or materials. | Fire Safety | 2021-04-23 | 2021-04-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-23 | 2021-04-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-23 | 2021-04-23 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2021-04-23 | 2021-04-23 | N |
