Facility profile · CCN 385121
Friendship Health Center
57 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $103,564.
Record summary
Federal record · Q1 202657
Total citations
51
Last 3 years
3
Actual harm+
2
Federal penalties
$103,564
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
57 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Feb 28, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Oct 15, 2024 | F825 | Provide or get specialized rehabilitative services as required for a resident. | G | Complaint |
| Oct 15, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Oct 15, 2024 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Oct 15, 2024 | F847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | F | Standard |
| Oct 15, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Oct 15, 2024 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Oct 15, 2024 | F761 | 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. | E | Standard |
| Oct 15, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Oct 15, 2024 | F758 | 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. | D | Standard |
| Oct 15, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Oct 15, 2024 | F742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | Standard |
| Oct 15, 2024 | F688 | 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. | E | Standard |
| Oct 15, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Standard |
| Oct 15, 2024 | F679 | Provide activities to meet all resident's needs. | E | Standard |
| Oct 15, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Oct 15, 2024 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard |
| Oct 15, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard |
| Oct 15, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Oct 15, 2024 | F625 | 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. | E | Standard |
| Oct 15, 2024 | F585 | 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. | D | Standard |
| Oct 15, 2024 | F584 | 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. | E | Standard |
| Oct 15, 2024 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Oct 15, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Oct 15, 2024 | F578 | 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. | D | Standard |
| Oct 15, 2024 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard |
| Oct 15, 2024 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard |
| Oct 15, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
| Jul 30, 2024 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint |
| Jul 30, 2024 | F726 | 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. | D | Complaint |
| Jul 30, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Jul 30, 2024 | F661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | G | Complaint |
| Sep 18, 2023 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Complaint |
| Sep 18, 2023 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint |
| Sep 18, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Sep 18, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Sep 18, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Sep 18, 2023 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | Complaint |
| Sep 18, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint |
| Jun 30, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Jun 30, 2023 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint |
| Jun 30, 2023 | F712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Complaint |
| Jun 30, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Jun 30, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Jun 30, 2023 | F679 | Provide activities to meet all resident's needs. | D | Complaint |
| Jun 30, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Jun 30, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Jun 30, 2023 | F641 | Ensure each resident receives an accurate assessment. | D | Complaint |
| Jun 30, 2023 | F584 | 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. | E | Complaint |
| Jun 30, 2023 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Jun 30, 2023 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint |
| May 4, 2022 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| May 4, 2022 | F838 | 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. | C | Standard |
| May 4, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| May 4, 2022 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| May 4, 2022 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| May 4, 2022 | F610 | Respond appropriately to all alleged violations. | D | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $103,564 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Oct 15, 2024 | Fine | $94,744 | — |
| Jul 30, 2024 | Fine | $8,820 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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