Friendship Haven Healthcare and Rehabilitation Cen

In the surveyor’s words

From the most serious findings on record at Friendship Haven Healthcare and Rehabilitation Cen, in the surveyor’s own words.

• Immediate jeopardy, isolatedF580Nov 23, 2022

  Based on observation, interview and record review, the facility failed to immediately consult with the resident's physician regarding a significant change in the resident's medical status, for 1 of 6 residents (Resident #1) whose records were reviewed for change in condition, in that: The facility failed to notify the physician that Resident #1 had not received her prescribed anticoagulant ([MEDICATION(S)]) from 11/14/2022 to 11/16/2022, resulting in the resident missing four doses of medication related to DVT (blood clot) diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . An Immediate Jeopardy (IJ) was identified on 11/18/2022 at 6:22 p.m. […]

• Immediate jeopardy, isolatedF760Nov 23, 2022

  Based on observation, interview and record review; the facility failed to ensure residents remained free of any significant medication errors for 2 of 11 residents (Resident #1 and Resident #2) whose records were reviewed for significant medication errors, in that: -The facility failed to administer prescribed [MEDICATION(S)], 118 milligrams to Resident # 1 for a total of four doses on 11/14/22-11/16/22. -LVN L changed the dosage on Resident#2's prescribed [MEDICATION(S)] without clarifying the change in the dosage with the prescribing physician. -LVN J and MA C administered [MEDICATION(S)] to Resident#2 that had been prescribed to another resident at the facility. An Immediate Jeopardy (IJ) was identified on 11/18/2022 at 6:22 p.m. […]

• Actual harm, isolatedF600Nov 7, 2024

  Based on observation, interview, and record review, the facility failed to ensure residents had the right to be free from abuse for 1 of 6 residents (Resident #79) reviewed for abuse. The facility failed to keep Resident #79 free from abuse when RN A yelled at and hit the resident while attempting to give her medication on 10/6/24 at 4:00 AM. The noncompliance was identified as past noncompliance (PNC). The facility corrected the noncompliance before the survey began. This failure could place residents at risk of experiencing and enduring abuse causing a decreased quality of life. Findings include: Record review of Resident #79's face sheet revealed an original admission on 2/29/24 and Resident #79 was a [AGE] year-old female. […]

• Actual harm, isolatedF684Sep 1, 2023

  Based on observation, interview, and record review, the facility failed to, based on the comprehensive assessment of a resident, ensure that the residents received treatment and care in accordance with professional standards of practice, the comprehensive Person - centered care plan, and the resident's choices for one out of three residents (Resident number # 91) reviewed for quality of care. - The facility failed to promptly assess, identify, and treat skin tear under the left fold before the abdomen, rashes close to the under-abdomen fold, and groin on Resident #91 and failed to ensure interventions were implemented to treat and prevent further skin deterioration. This failure could place residents at risk for a delay of care or treatment, pain, and suffering. […]

• No harm, potential for more than minimal, widespreadF812Sep 1, 2023

  Based on observation, interview, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for food procurement in that 4 Frozen rolls of 10 lb. ground beef in a pan being thawed in the sink. This failure could affect residents who ate food from the kitchen and place them at risk of food borne illness and disease. Findings Included: Observation of the facility kitchen on 08/29/23 at 8:30 AM revealed 4- 10 lb. frozen ground beef in a pan being thawed in the sink faucet water running with a temperature of 91 degrees Fahrenheit. […]