Inspection Results » Friendship Skilled Nursing & Rehab

Health Inspection on March 21, 2019 ^[1]

1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-04-04)

2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • 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 (Corrected 2019-04-04)
   • Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. (Corrected 2019-04-04)

3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Ensure each resident receives an accurate assessment. (Corrected 2019-04-04)
   • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (Corrected 2019-04-04)
   • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2019-04-04)
   • Provide and implement an infection prevention and control program. (Corrected 2019-04-04)
   • 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. (Corrected 2019-04-04)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-04-04)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2019-04-04)
   • 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 ne (Corrected 2019-04-04)

4. Widespread: No actual harm with potential for minimal harm

   • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (Corrected 2019-04-04)
   • 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. (Corrected 2019-04-04)

5. Pattern: No actual harm with potential for minimal harm

   • Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (Corrected 2019-04-04)