Friendly Village Nursing and Rehab Center

In the surveyor’s words

From the most serious findings on record at Friendly Village Nursing and Rehab Center, in the surveyor’s own words.

• Actual harm, isolatedF689Feb 24, 2022

  Based on interviews and record reviews, the facility did not ensure the environment for 1 of 3 residents (R1) reviewed for falls, remained as free of potential hazards as possible, to prevent further falls from occurring. R1 returned to the facility after a hospitalization under hospice services as he was actively dying. The facility did not implement additional fall prevention strategies for R1 after a change in condition and prior to Hospice recommended interventions being put into place. R1 sustained a fall in which he hit his head on the floor expediting the dying process. This is evidenced by: R1 was admitted to the facility 12/3/21. […]

• No harm, potential for more than minimal, widespreadF812Feb 6, 2025

  Based on observation, record review and interview, the facility did not store resident foods brought in by visitors in a manner to prevent food-borne illness. The facility practice had the potential to affect 59 of 76 residents who reside on the main level of the facility on the 100, 200, 300 and 400 wings. The facility did not ensure the low temperature dishwasher chemical sanitizer maintained the correct concentration per manufacturer's guidelines. The facility practice had the potential to affect all 76 residents who are served foods from the facility's kitchen. Surveyor observed foods and beverages brought in for residents by visitors in 2 refrigerators/freezers in the nurses' station that were not labeled by resident or dated with received by and use by dates. […]

• No harm, potential for more than minimal, widespreadF851Feb 6, 2025

  Based on interview and record review, the facility did not ensure the mandatory staffing data that had been submitted from 7/1/24-9/30/24 was complete, accurate, and auditable. This has the potential to affect all 76 residents that reside in the facility. This is evidenced by: The facility policy titled Payroll Based Journal dated as revised on 2/26/22 in part read: Policy: Long-term facilities must electronically submit to CMS (Centers for Medicare and Medicaid Services) complete and accurate direct care staffing information, including information for agency and contracted staff, based on payroll and other verifiable and auditable data in a uniform format according to specifications established by CMS. […]

• No harm, potential for more than minimal, widespreadF812Jan 11, 2024

  Based on meal observations, interviews and record review, the facility failed to distribute food under sanitary conditions, improper glove use, and food handling without proper hand hygiene. This has the potential to affect all 78 residents who reside in the facility. This is evidenced by: The facility policy and procedure entitled: Sanitization and Cleaning Schedule, states in part . 2. All foodservice employees must use one of two acceptable sanitary procedures when handling foods: a. Hands are washed using appropriate procedure and food is handled with tongs, deli paper or other utensils. b. Disposable gloves are used and changed when soiled, torn, or switching tasks. 3. […]

• No harm, potential for more than minimal, widespreadF812Jan 19, 2023

  Based on observation, interview and record review, the facility did not store, prepare, and serve food in a safe and sanitary manner. This has a potential to affect 75 of 76 residents (R). The facility's process for cooling foods was not done in a manner that protected the residents from foodborne illness. The facility did not periodically monitor food temperatures throughout the meal service to ensure proper holding temperatures were maintained. The facility did not ensure unit refrigerators were maintained at proper temperature and that resident food items were dated and labeled. COOLING PROCESS On 1/17/23, at approximately 8:45 AM during initial tour of the kitchen, Surveyor asked Interim Dietary Manager (IDM) C if the facility uses leftover food. […]