Deficiency Records for Friendship Health Center
Updated as of October 01, 2019
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? |
---|---|---|---|---|
Respond appropriately to all alleged violations. | Health | 2019-01-24 | 2019-03-15 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-24 | 2019-03-15 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-01-24 | 2019-03-15 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-01-24 | 2019-03-15 | Y |
Establish staff and initial training requirements. | Fire Safety | 2018-06-18 | 2018-10-03 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2018-06-18 | 2018-10-02 | N |
Provide primary/alternate means for communication. | Fire Safety | 2018-06-18 | 2018-10-02 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-08-29 | 2018-09-12 | Y |
Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-06-18 | 2018-08-13 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-06-18 | 2018-08-13 | N |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-06-18 | 2018-08-13 | N |
Address patient/client population and determine types of services needed. | Fire Safety | 2018-06-18 | 2018-08-13 | N |
Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-06-18 | 2018-08-13 | N |
Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-06-18 | 2018-08-13 | N |
Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-06-18 | 2018-08-13 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-06-18 | 2018-08-13 | N |
Develop a communication plan. | Fire Safety | 2018-06-18 | 2018-08-13 | N |
Provide emergency officials' contact information. | Fire Safety | 2018-06-18 | 2018-08-13 | N |
Establish emergency prep training and testing. | Fire Safety | 2018-06-18 | 2018-08-13 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-06-18 | 2018-08-13 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-18 | 2018-08-13 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-06-18 | 2018-08-13 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-06-18 | 2018-08-13 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-06-18 | 2018-08-13 | N |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-06-26 | 2018-08-13 | N |
The resident has the right to receive notices in a format and a language he or she understands. | Health | 2018-06-26 | 2018-08-13 | N |
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-06-26 | 2018-08-13 | 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 | 2018-06-26 | 2018-08-13 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-06-26 | 2018-08-13 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-06-26 | 2018-08-13 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-06-26 | 2018-08-13 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-26 | 2018-08-13 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-06-26 | 2018-08-13 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-26 | 2018-08-13 | 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 | 2018-06-26 | 2018-08-13 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2018-06-26 | 2018-08-13 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-06-26 | 2018-08-13 | N |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2018-06-26 | 2018-08-13 | N |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-06-26 | 2018-08-13 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-06-26 | 2018-08-13 | N |
Ensure that residents are free from significant medication errors. | Health | 2018-03-16 | 2018-04-20 | Y |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-03-16 | 2018-04-13 | Y |
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2018-03-16 | 2018-04-13 | Y |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-04-26 | 2017-06-09 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-04-26 | 2017-06-09 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-04-26 | 2017-06-09 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2017-04-26 | 2017-06-09 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-04-26 | 2017-06-09 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-04-26 | 2017-06-09 | N |
Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-04-21 | 2017-06-09 | Y |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-04-21 | 2017-06-09 | Y |
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-04-21 | 2017-06-09 | Y |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-04-21 | 2017-06-09 | Y |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-04-26 | 2017-06-07 | N |
Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2017-04-26 | 2017-05-10 | N |
Corridor and hallway doors that block smoke. | Fire Safety | 2016-03-02 | 2016-04-19 | N |
Have 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 | N |
Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-02-29 | 2016-04-19 | N |
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 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-02-29 | 2016-04-19 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-29 | 2016-04-19 | N |
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 | N |