Deficiency Records for Friendship Village Sunset Hills
Updated as of August 01, 2023
This is not the most recent data for Friendship Village Sunset Hills. For the most recent information, click here.
A list of the most recent deficiencies for Friendship Village Sunset Hills. 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 appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-01 | 2022-07-16 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-28 | 2019-10-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-28 | 2019-10-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-28 | 2019-10-04 | 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 | 2019-08-28 | 2019-10-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-28 | 2019-10-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-28 | 2019-10-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-28 | 2019-10-04 | 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 | 2018-07-16 | 2018-08-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-16 | 2018-08-10 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2018-07-16 | 2018-08-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-16 | 2018-08-10 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-07-16 | 2018-08-10 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-07-16 | 2018-08-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-07-16 | 2018-08-10 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-07-21 | 2017-09-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-07-21 | 2017-09-01 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-21 | 2017-09-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-07-21 | 2017-09-01 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-07-21 | 2017-09-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-07-21 | 2017-09-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-21 | 2017-09-01 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-07-21 | 2017-09-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-07-21 | 2017-09-01 | N |
