A list of the most recent deficiencies for The Friendly Home. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-02 | 2022-04-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-02 | 2022-04-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-03-02 | 2022-04-12 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-03-02 | 2022-04-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-02 | 2022-04-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-02 | 2022-04-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-17 | 2019-10-30 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-09-17 | 2019-10-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-17 | 2019-10-30 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-12-26 | Not Fixed | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-12-26 | Not Fixed | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-12-26 | Not Fixed | 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 | 2023-12-26 | Not Fixed | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-26 | Not Fixed | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-12-26 | Not Fixed | N |
| Keep all essential equipment working safely. | Health | 2023-12-26 | Not Fixed | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-12-26 | Not Fixed | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-26 | Not Fixed | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-12-26 | Not Fixed | N |
