Friendship Rehab And Health

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected May 27, 2026

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 27, 2026

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 27, 2026

• Have proper medical gas storage and administration areas.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 11, 2026

• Establish emergency prep training and testing.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 11, 2026

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 23, 2026

• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 23, 2026

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 23, 2026

• Dispose of garbage and refuse properly.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 23, 2026

• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 11, 2026

• Inspect, test, and maintain automatic sprinkler systems.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 11, 2026

• Keep aisles, corridors, and exits free of obstruction in case of emergency.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 11, 2026

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 23, 2026

• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 23, 2026

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 23, 2026

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 23, 2026

• Provide enough food/fluids to maintain a resident's health.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 23, 2026

• Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 23, 2026

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 23, 2026

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 23, 2026

• Keep residents' personal and medical records private and confidential.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 23, 2026

• Ensure each resident receives an accurate assessment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 23, 2026

• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 23, 2026

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 23, 2026

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 23, 2026

• Provide safe and appropriate respiratory care for a resident when needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 23, 2026

• Provide safe, appropriate dialysis care/services for a resident who requires such services.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 23, 2026

• Provide care or services that was trauma informed and/or culturally competent.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 23, 2026

• Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 23, 2026

• Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 23, 2026

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 23, 2026

• Keep all essential equipment working safely.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 23, 2026

• Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 23, 2026

• Have properly located and lighted "Exit" signs.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 11, 2026

• Have approved installation, maintenance and testing program for fire alarm systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 11, 2026

• Install smoke barrier doors that can resist smoke for at least 20 minutes.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 11, 2026

• Have power receptacles that are properly grounded.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 11, 2026

• 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.

  Severity C of L: potential for minimal harm, widespreadCorrected Apr 23, 2026

• Conduct testing and exercise requirements.

  Severity C of L: potential for minimal harm, widespreadCorrected May 11, 2026

• Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

  Severity C of L: potential for minimal harm, widespreadCorrected Apr 23, 2026

• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 16, 2026

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Nov 24, 2025

• Administer the facility in a manner that enables it to use its resources effectively and efficiently.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 19, 2025

• Have a plan that describes the process for conducting QAPI and QAA activities.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Dec 12, 2025

• Hire a qualified full-time social worker in a facility with more than 120 beds.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Dec 12, 2025

• Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Dec 12, 2025

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 12, 2025

• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 12, 2025

• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 12, 2025

• Ensure that residents are free from significant medication errors.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 5, 2025

• Reasonably accommodate the needs and preferences of each resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 5, 2025

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionPast Non-Compliance

• Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionPast Non-Compliance

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Jul 26, 2025

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Sep 2, 2025

• Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Sep 2, 2025

• Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 2, 2025

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 2, 2025

• Reasonably accommodate the needs and preferences of each resident.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 2, 2025

• Administer the facility in a manner that enables it to use its resources effectively and efficiently.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 2, 2025

• Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 2, 2025

• Provide enough food/fluids to maintain a resident's health.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 2, 2025

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 2, 2025

• Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 2, 2025

• Protect each resident from the wrongful use of the resident's belongings or money.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 20, 2025

• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected May 7, 2025

• Reasonably accommodate the needs and preferences of each resident.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected May 7, 2025

• Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Apr 18, 2025

• Provide activities to meet all resident's needs.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Apr 18, 2025

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Apr 18, 2025

• Help the resident make transportation arrangements to and from radiology services.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 18, 2025

• Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

  Severity J of L: immediate jeopardy, isolatedCorrected Mar 13, 2025

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Mar 13, 2025

• Administer the facility in a manner that enables it to use its resources effectively and efficiently.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 13, 2025

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 13, 2025

• Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 13, 2025

• Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 21, 2025

• Properly select, install, inspect, or maintain portable fire extinguishes.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 21, 2025

• Inspect, test, and maintain automatic sprinkler systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 21, 2025

• Have approved installation, maintenance and testing program for fire alarm systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 21, 2025

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 13, 2025

• Provide safe and appropriate respiratory care for a resident when needed.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 13, 2025

• Have stairways and smokeproof enclosures used as exits that meet safety requirements.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 21, 2025

• Provide properly protected cooking facilities.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 21, 2025

• Install corridor and hallway doors that block smoke.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 21, 2025

• Provide care or services that was trauma informed and/or culturally competent.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 13, 2025

• Ensure that the resident and his/her doctor meet face-to-face at all required visits.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 13, 2025

• Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 2, 2025

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected May 2, 2025

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 21, 2025

• Ensure proper usage of power strips and extension cords.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 21, 2025

• Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 13, 2025

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 13, 2025

• Develop and implement policies and procedures for flu and pneumonia vaccinations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 13, 2025

• Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 13, 2025

• Keep all essential equipment working safely.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 13, 2025

• Make sure that a working call system is available in each resident's bathroom and bathing area.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 13, 2025

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 13, 2025

• Keep residents' personal and medical records private and confidential.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 13, 2025

• Install smoke barrier doors that can resist smoke for at least 20 minutes.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 21, 2025

• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 21, 2025

• Meet requirements for sections of health care facilities separated by fire resistive construction.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 21, 2025

• Provide and implement an infection prevention and control program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 2, 2025

• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 13, 2025

• Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 13, 2025

• Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 13, 2025

• Provide for the safe, appropriate administration of IV fluids for a resident when needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 13, 2025

• Provide safe, appropriate dialysis care/services for a resident who requires such services.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 13, 2025

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 13, 2025

• Provide or obtain dental services for each resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 13, 2025

• Have proper medical gas storage and administration areas.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 21, 2025

• Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 13, 2025

• Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 13, 2025

• Allow residents to self-administer drugs if determined clinically appropriate.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 13, 2025

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 13, 2025

• Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 13, 2025

• Ensure each resident receives an accurate assessment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 13, 2025

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 13, 2025

• Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 17, 2025

• 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.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Dec 27, 2024

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 27, 2024

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 27, 2024

• Plan the resident's discharge to meet the resident's goals and needs.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 27, 2024

• Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 27, 2024

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Nov 22, 2024

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Nov 22, 2024

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Nov 22, 2024

• 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.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Oct 25, 2024

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Oct 25, 2024

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Oct 25, 2024

• Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 25, 2024

• Provide care and assistance to perform activities of daily living for any resident who is unable.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 8, 2024

• Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 20, 2024

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 20, 2024

• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 20, 2024

• Allow residents to self-administer drugs if determined clinically appropriate.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 20, 2024

• Ensure that residents are fully informed and understand their health status, care and treatments.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 8, 2024

• Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 8, 2024

• Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 8, 2024

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 8, 2024

• Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 8, 2024

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity L of L: immediate jeopardy, widespreadFound during a complaint inspectionCorrected Aug 2, 2024

• Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

  Severity L of L: immediate jeopardy, widespreadFound during a complaint inspectionCorrected Aug 2, 2024

• Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Aug 2, 2024

• Provide a neutral and fair arbitration process and agree to arbitrator and venue.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Aug 2, 2024

• Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Aug 2, 2024

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 2, 2024

• Ensure that residents are free from significant medication errors.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 2, 2024

• Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Aug 2, 2024

• Include a process for Emergency Preparedness collaboration.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Aug 2, 2024

• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Jul 20, 2024

• Address subsistence needs for staff and patients.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Aug 2, 2024

• Inspect, test, and maintain automatic sprinkler systems.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Aug 2, 2024

• Establish staff and initial training requirements.

  Severity C of L: potential for minimal harm, widespreadFound during a complaint inspectionCorrected Aug 2, 2024

• Establish emergency prep training and testing.

  Severity C of L: potential for minimal harm, widespreadFound during a complaint inspectionCorrected Aug 2, 2024

• Implement emergency and standby power systems.

  Severity C of L: potential for minimal harm, widespreadFound during a complaint inspectionCorrected Aug 2, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 25, 2024

• Keep residents' personal and medical records private and confidential.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 8, 2024

• Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

  Severity L of L: immediate jeopardy, widespreadCorrected May 8, 2024

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity K of L: immediate jeopardy, patternCorrected May 8, 2024

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity J of L: immediate jeopardy, isolatedCorrected May 8, 2024

• Dispose of garbage and refuse properly.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 8, 2024

• Administer the facility in a manner that enables it to use its resources effectively and efficiently.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 8, 2024

• Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 8, 2024

• Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 8, 2024

• Have generator or other power source capable of supplying service within 10 seconds.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 16, 2024

• Implement emergency and standby power systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 16, 2024

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 8, 2024

• Meet requirements for sections of health care facilities separated by fire resistive construction.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 16, 2024

• Honor the resident's right to organize and participate in resident/family groups in the facility.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 8, 2024

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected May 8, 2024

• Protect each resident from the wrongful use of the resident's belongings or money.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 8, 2024

• Provide safe and appropriate respiratory care for a resident when needed.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 8, 2024

• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected May 8, 2024

• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 8, 2024

• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 16, 2024

• Inspect, test, and maintain automatic sprinkler systems.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 16, 2024

• Install smoke barrier doors that can resist smoke for at least 20 minutes.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 16, 2024

• Keep aisles, corridors, and exits free of obstruction in case of emergency.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 16, 2024

• Install corridor and hallway doors that block smoke.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 16, 2024

• Meet requirements for the installation and maintenance of electrical systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 16, 2024

• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 8, 2024

• Ensure each resident receives an accurate assessment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 8, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 8, 2024

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 8, 2024

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 8, 2024

• Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 8, 2024

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 27, 2024

• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 8, 2024

• Reasonably accommodate the needs and preferences of each resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 8, 2024

• Ensure that residents are fully informed and understand their health status, care and treatments.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 8, 2024

• Ensure proper usage of power strips and extension cords.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 16, 2024

• Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 16, 2024

• Provide and implement an infection prevention and control program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 8, 2024

• Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 8, 2024

• Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 8, 2024

• Provide enough food/fluids to maintain a resident's health.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 8, 2024

• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 8, 2024

• Conduct testing and exercise requirements.

  Severity C of L: potential for minimal harm, widespreadCorrected Apr 16, 2024

Friendship Rehab And Health offers Skilled Nursing / Long Term Care.

Friendship Rehab And Health is located at 246 Friendship Circle in Beaver, Pennsylvania.

Friendship Rehab And Health is a skilled nursing and long-term care community in Beaver, Pennsylvania, holding a 2.5 out of 5 rating from 133 Google reviewers. No individual reviews or amenity details were provided, and pricing has not been published, making it hard to gauge day-to-day experience from the data available.

Friendship Rehab And Health had 28 government inspection visits in the last three years, with 216 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page to connect with Friendship Rehab And Health and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.