Deficiency Records for Friendship Health Center
Updated as of October 01, 2016
This is not the most recent data for Friendship Health Center. For the most recent information, click here.
A list of the most recent deficiencies for Friendship Health 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? |
|---|---|---|---|---|
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-05-19 | 2016-07-08 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-05-19 | 2016-07-08 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-03-02 | 2016-04-19 | N |
| Other fire safety features required by fire safety codes. | Fire Safety | 2016-03-02 | 2016-04-19 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-03-02 | 2016-04-19 | 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 | 2016-02-29 | 2016-04-19 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-02-29 | 2016-04-19 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-02-29 | 2016-04-19 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-02-29 | 2016-04-19 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-29 | 2016-04-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-02-29 | 2016-04-19 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-03-02 | 2016-04-19 | N |
| Other fire safety features required by fire safety codes. | Fire Safety | 2016-03-02 | 2016-04-19 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-03-02 | 2016-04-19 | 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 | 2016-02-29 | 2016-04-19 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-02-29 | 2016-04-19 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-02-29 | 2016-04-19 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-02-29 | 2016-04-19 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-29 | 2016-04-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-02-29 | 2016-04-19 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-12-18 | 2016-02-01 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-12-18 | 2016-02-01 | Y |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-01-28 | 2015-03-15 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-01-28 | 2015-03-15 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-01-28 | 2015-03-15 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2015-01-26 | 2015-03-15 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2015-01-26 | 2015-03-15 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-01-26 | 2015-03-15 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-01-26 | 2015-03-15 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-01-26 | 2015-03-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-01-26 | 2015-03-15 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-01-28 | 2015-03-15 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-01-28 | 2015-03-15 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-01-28 | 2015-03-15 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2015-01-26 | 2015-03-15 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2015-01-26 | 2015-03-15 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-01-26 | 2015-03-15 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-01-26 | 2015-03-15 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-01-26 | 2015-03-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-01-26 | 2015-03-15 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-01-28 | 2015-02-16 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-01-28 | 2015-02-16 | N |
| Properly maintained smoke detectors. | Fire Safety | 2015-01-28 | 2015-02-13 | N |
| Properly maintained smoke detectors. | Fire Safety | 2015-01-28 | 2015-02-13 | N |
| Approved construction type or materials. | Fire Safety | 2015-01-28 | 2015-02-02 | N |
| Approved construction type or materials. | Fire Safety | 2015-01-28 | 2015-02-02 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-01-28 | 2015-01-29 | N |
| A separate and independent backup electrical power source. | Fire Safety | 2015-01-28 | 2015-01-29 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-01-28 | 2015-01-29 | N |
| A separate and independent backup electrical power source. | Fire Safety | 2015-01-28 | 2015-01-29 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2014-04-10 | 2014-05-08 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2014-04-10 | 2014-05-08 | Y |
| Exits that are accessible at all times. | Fire Safety | 2013-09-24 | 2013-11-01 | N |
| A written emergency evacuation plan. | Fire Safety | 2013-09-24 | 2013-11-01 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2013-09-24 | 2013-11-01 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2013-09-24 | 2013-11-01 | N |
| An adequate water supply for the sprinkler system. | Fire Safety | 2013-09-24 | 2013-11-01 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2013-09-24 | 2013-11-01 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2013-09-24 | 2013-11-01 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2013-09-20 | 2013-11-01 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2013-09-20 | 2013-11-01 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2013-09-20 | 2013-11-01 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2013-09-20 | 2013-11-01 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2013-09-20 | 2013-11-01 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2013-09-20 | 2013-11-01 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-09-20 | 2013-11-01 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2013-09-20 | 2013-11-01 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-09-20 | 2013-11-01 | N |
| Exits that are accessible at all times. | Fire Safety | 2013-09-24 | 2013-11-01 | N |
| A written emergency evacuation plan. | Fire Safety | 2013-09-24 | 2013-11-01 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2013-09-24 | 2013-11-01 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2013-09-24 | 2013-11-01 | N |
| An adequate water supply for the sprinkler system. | Fire Safety | 2013-09-24 | 2013-11-01 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2013-09-24 | 2013-11-01 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2013-09-24 | 2013-11-01 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2013-09-20 | 2013-11-01 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2013-09-20 | 2013-11-01 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2013-09-20 | 2013-11-01 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2013-09-20 | 2013-11-01 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2013-09-20 | 2013-11-01 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2013-09-20 | 2013-11-01 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-09-20 | 2013-11-01 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2013-09-20 | 2013-11-01 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-09-20 | 2013-11-01 | N |
