Friends Homes at Guilford

In the surveyor’s words

From the most serious findings on record at Friends Homes at Guilford, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF550Aug 25, 2026

  Based on record review, staff interviews, and Responsible Party interview, the facility failed to treat a resident in a dignified manner when Resident #1, a resident with severe cognitive impairment, was yelling out and Nurse Aide #1 loosely placed her hand over the resident's mouth and yelled at the resident to shut up in an effort to quiet the resident. The reasonable person concept was applied, as a reasonable person would expect to receive care without being yelled at. This deficient practice affected 1 of 3 residents reviewed for dignity (Resident #1).Findings included:Resident #1 was readmitted to the facility on [DATE] with diagnoses including vascular dementia, anxiety disorder, and depression.An annual Minimum Data Set assessment dated [DATE] documented Resident #1 as having… […]

• No harm, potential for more than minimal, isolatedF607Aug 25, 2026

  Based on record review and staff interviews, the facility failed to develop and implement an abuse policy consistent with the regulatory requirements, resulting in staff not adhering to the required reporting timeframes to the state agency, adult protective services, and the Administrator. This failure affected 1 of 1 resident reviewed for abuse (Resident #1).Findings included:The facility's policy titled, Abuse Prohibition last revised 11/2017, stated that all reports of alleged incidents of abuse, neglect, exploitation, involuntary seclusion, and misappropriation of resident property must be reported to the Administrator immediately. […]

• No harm, potential for more than minimal, isolatedF689Oct 24, 2024

  Based on record review and staff interviews, the facility failed to provide a safe transfer resulting in the resident falling to the floor. The resident sustained no injuries. This was for 1 of 3 (Resident #25) residents reviewed for accidents. The findings included: Resident #25 was admitted to the facility on [DATE] with diagnoses of dementia, unsteadiness on feet, muscle weakness, localized edema, and cognitive communication deficit. Review of Resident #25's quarterly Minimum Data Set (MDS) dated [DATE] revealed the resident was severely cognitively impaired and required substantial/maximal assistance with toileting and transfers. […]

• No harm, potential for more than minimal, isolatedF758Oct 24, 2024

  Based on staff and consultant pharmacist interviews and record reviews, the facility failed to limit the duration of psychotropic medications (any drug that affects brain activities associated with mental processes and behavior) ordered on an as needed (PRN) basis to 14 days and/or indicate the duration and rationale for the PRN order to be extended beyond 14 days, when appropriate. This occurred for 1 of 5 residents whose medications were reviewed (Resident #59). The findings included: 1. Resident #59 was admitted to the facility on [DATE]. Her cumulative diagnoses included dementia with mild anxiety. A review of the resident's electronic medical record (EMR) revealed the following medication orders were received for Ativan (an antianxiety medication). […]