A list of the most recent deficiencies for Friendship Health and Rehab 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? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-23 | 2023-05-04 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-03-21 | 2022-05-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-21 | 2022-05-27 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-03-21 | 2022-05-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-21 | 2022-05-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-21 | 2022-05-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-21 | 2022-05-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-21 | 2022-05-27 | 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 | 2022-03-10 | 2022-04-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-10 | 2022-04-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-10 | 2022-04-20 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-03-10 | 2022-04-20 | 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 | 2022-03-10 | 2022-04-20 | N |
| Use approved construction type or materials. | Fire Safety | 2021-06-23 | 2021-08-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-06-23 | 2021-08-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-06-23 | 2021-08-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-23 | 2021-08-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-23 | 2021-08-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-23 | 2021-08-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-06-23 | 2021-08-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-23 | 2021-08-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-06-17 | 2021-07-28 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-06-17 | 2021-07-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-17 | 2021-07-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-17 | 2021-07-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-06-17 | 2021-07-28 | 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 | 2021-06-17 | 2021-07-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-17 | 2021-07-28 | N |
| Use approved construction type or materials. | Fire Safety | 2018-11-26 | 2019-01-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-11-26 | 2019-01-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-11-26 | 2019-01-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-26 | 2019-01-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-11-26 | 2019-01-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-11-26 | 2019-01-02 | 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 | 2018-11-16 | 2018-12-28 | 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 | 2018-11-16 | 2018-12-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-11-16 | 2018-12-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-11-16 | 2018-12-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-16 | 2018-12-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-16 | 2018-12-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-16 | 2018-12-28 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-11-16 | 2018-12-28 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-11-16 | 2018-12-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-11-16 | 2018-12-28 | 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 | 2018-11-16 | 2018-12-28 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-11-16 | 2018-12-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-16 | 2018-12-28 | N |
