Deficiency Records for Friendly Village Nursing and Rehab Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Friendly Village Nursing 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-01-11 | 2024-01-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-11 | 2024-01-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-11 | 2024-01-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-11 | 2024-01-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-11 | 2024-01-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-11 | 2024-01-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-09 | 2024-01-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-01-09 | 2024-01-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-09 | 2024-01-31 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-01-09 | 2024-01-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-09 | 2024-01-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-09 | 2024-01-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-14 | 2023-09-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-20 | 2023-04-06 | N |
| Provide activities to meet all resident's needs. | Health | 2023-01-19 | 2023-02-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-19 | 2023-02-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-19 | 2023-02-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-19 | 2023-02-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-01-18 | 2023-02-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-18 | 2023-02-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-18 | 2023-02-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-18 | 2023-02-13 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-01-18 | 2023-02-13 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-01-18 | 2023-02-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-01-18 | 2023-02-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-18 | 2023-02-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-24 | 2022-03-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-02 | 2022-01-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-12-02 | 2022-01-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-02 | 2022-01-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-02 | 2022-01-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-30 | 2022-01-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-30 | 2022-01-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-30 | 2022-01-04 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2021-11-30 | 2022-01-04 | N |
