A list of the most recent deficiencies for Friends Extended Care Center. 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 an approved automatic sprinkler system. | Fire Safety | 2023-06-20 | 2023-10-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-06-22 | 2023-08-11 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-06-22 | 2023-08-11 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-06-20 | 2023-08-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-20 | 2023-08-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-20 | 2023-08-11 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2021-08-27 | 2021-10-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-27 | 2021-10-12 | N |
| 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 | 2021-08-24 | 2021-10-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-24 | 2021-10-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-24 | 2021-10-12 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-08-24 | 2021-10-12 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-04-04 | 2019-04-28 | N |
| 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 | 2019-04-04 | 2019-04-28 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-04-04 | 2019-04-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-04 | 2019-04-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-04 | 2019-04-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-04 | 2019-04-28 | N |
