Deficiency Records for Friendship Haven, Inc
Updated as of April 01, 2021
This is not the most recent data for Friendship Haven, Inc. For the most recent information, click here.
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? |
---|---|---|---|---|
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2020-11-12 | 2020-12-04 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-11-12 | 2020-12-04 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-06-09 | 2020-06-19 | Y |
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 | 2020-06-09 | 2020-06-19 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-06-09 | 2020-06-19 | Y |
Respond appropriately to all alleged violations. | Health | 2019-11-07 | 2019-11-14 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-11 | 2019-08-01 | N |
Assess the resident when there is a significant change in condition | Health | 2019-07-11 | 2019-08-01 | N |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-07-11 | 2019-08-01 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-07-11 | 2019-08-01 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-11 | 2019-08-01 | 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 | 2019-07-11 | 2019-08-01 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-07-11 | 2019-08-01 | 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 | 2019-07-11 | 2019-08-01 | 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 | 2019-07-11 | 2019-08-01 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-11 | 2019-08-01 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-16 | 2018-09-14 | 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 | 2018-03-29 | 2018-04-20 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-29 | 2018-04-20 | N |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-02-02 | 2017-02-03 | N |