Friends Extended Care Center

In the surveyor’s words

From the most serious findings on record at Friends Extended Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Feb 19, 2026

  Based on record review, staff interview, and procedure review, the facility failed to maintain documentation of all routine activities related to maintenance, testing, and treatment of water systems. This had the potential to affect all 49 residents residing in the facility. The facility census was 49. Findings include: Review of the facility Legionella documentation revealed no documentation to support maintenance flushed the faucets of the unoccupied rooms weekly or if unoccupied for more than three days. Review of the facility document titled Monitoring Waterborne Organisms: Legionnaire's Disease, stated the departments would complete records of all routine and special activities related to maintenance, testing, and treatment of involved water systems. […]

• No harm, potential for more than minimal, widespreadF908Feb 19, 2026

  Based on observation and staff interviews, the facility failed to maintain essential kitchen equipment in safe, working condition. This had the potential to affect all 49 residents residing in the facility. The census was 49. Findings include: An observation in the kitchen on 02/18/26 at 10:00 A.M. revealed the Dietary [NAME] (DC) #121 calling out the stove was on fire. Flames could be seen coming from under the lower left burner on the gas stove. Four of the six burners were on with lunch prep taking place. The Director of Environmental Services (DES) #122 heard DC #121 calling out, approached the stove and put the fire out using a fire extinguisher. During an interview on 02/18/26 at 10:14 A.M. […]

• No harm, potential for more than minimal, widespreadF880Aug 27, 2021

  Based on record review, interview and policy review, the facility failed to test for Legionella in the hot water sources from the facility kitchen, shower room, and shower room for the rehabilitation unit. This had the potential to affect all residents who resided in the facility. The census was 54. Findings include: Review of the Legionnaire's Disease Testing documentation revealed no weekly testing of the hot water system for the kitchen sinks, main shower room, and the rehabilitation shower room. Interview on 08/26/21 at 1:55 P.M. Maintenance Director #85 verified the temperature checks had not been performed weekly. […]

• No harm, potential for more than minimal, isolatedF686Feb 19, 2026

  Based on record review, observation, staff interview and policy review, the facility failed to assess and document wound descriptions including measurements. This affected one (#06) out of two residents reviewed for pressure ulcers/injuries. The facility census was 49. Findings include: Review of the medical record for Resident #06 revealed an admission date of 01/16/26 with diagnoses of non-stemi elevation (nstemi) myocardial infarction, acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure, acute respiratory failure with hypoxia, cellulitis of buttock, and essential (primary) hypertension. […]

• No harm, potential for more than minimal, isolatedF883Jun 22, 2023

  Based on record review, staff interview and review of a facility policy, the facility failed to ensure residents were offered pneumococcal vaccines. This affected two residents (#02 and #18) out of the five residents reviewed for immunizations. The facility census was 43. Findings include: 1. Review of the Resident #02's chart revealed the resident was admitted to the facility on [DATE] with diagnoses including, but not limited to, cerebral palsy, muscle weakness, hyperlipidemia, hypertension, chronic obstructive pulmonary disease (COPD) and anemia. […]