A list of the most recent deficiencies for Friendship Village of South Hi. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-12 | 2023-11-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-12 | 2023-11-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-10-17 | 2023-11-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-17 | 2023-11-29 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-10-17 | 2023-11-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-17 | 2023-11-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-30 | 2023-02-02 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-12-01 | 2023-01-11 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-12-01 | 2023-01-11 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-12-01 | 2023-01-11 | N |
| Respond appropriately to all alleged violations. | Health | 2022-12-01 | 2023-01-11 | 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 | 2022-12-01 | 2023-01-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-01 | 2023-01-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-01 | 2023-01-11 | 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 | 2022-12-01 | 2023-01-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-01 | 2023-01-11 | N |
| Keep all essential equipment working safely. | Health | 2022-12-01 | 2023-01-11 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-12-01 | 2023-01-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-30 | 2023-01-11 | 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 | 2021-11-24 | 2022-01-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-24 | 2022-01-05 | N |
| Respond appropriately to all alleged violations. | Health | 2021-11-24 | 2022-01-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-11-24 | 2022-01-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-24 | 2022-01-05 | 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 | 2021-11-24 | 2022-01-05 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-11-24 | 2022-01-05 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-11-24 | 2022-01-05 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-11-24 | 2022-01-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-11-30 | 2022-01-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-30 | 2022-01-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-30 | 2022-01-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-30 | 2021-06-18 | Y |
