Friendship Health and Rehab Center

In the surveyor’s words

From the most serious findings on record at Friendship Health and Rehab Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF679Oct 29, 2024

  Based on observation, staff interview, and family interview the facility staff failed to provide an activities program designed to meet the needs of the residents for one of 5 units, memory care unit. The findings included: For the memory care unit, the facility staff failed to provide meaningful and engaging activities. Surveyor spoke with a family member on 10/23/24 at 1:20 pm. Resident's family member stated, They need more activities for these people, they just have them sitting in a room, waiting to die. They all just sit there and sleep. Surveyor made the following observations on the memory care unit: 10/23/24 at 2:05 pm-Residents seated in dining room, eating lunch. Staff stated lunch trays don't arrive on unit until around 1:00 pm. […]

• No harm, potential for more than minimal, isolatedF584Oct 29, 2024

  Based on observation, staff interview and family interview the facility staff failed to maintain essential equipment for one of 35 residents, Resident #201. The findings included: For Resident #201 the facility staff failed to ensure the toilet was in proper working order. Resident #201's face sheet listed diagnoses which included but not limited to Alzheimer's disease and chronic kidney disease. Resident #201's most recent minimum data set with an assessment reference date of 08/14/24 coded the resident as having both and long- and short-term memory problems with severely impaired cognitive skills for daily decision making. Surveyor spoke with Resident #201's family member on 10/23/24 at 1:20 pm. […]

• No harm, potential for more than minimal, isolatedF684Oct 29, 2024

  Based on staff interviews and clinical record review, the facility staff failed to follow medical provider orders for one (1) of 35 sampled residents (Resident #88). The findings include: The facility staff failed to administer Resident #88's Sevelamer as ordered by the medical provider. The medication had been scheduled to be administered during a time the resident was also scheduled to receive dialysis outside of the facility. (Sevelamer is medication given to individuals with chronic kidney disease. Sevelamer is used to manage an individual's phosphorus and/or calcium levels.) Resident #88's Minimum Data Set (MDS) assessment, with an Assessment Reference Date (ARD) of 10/2/24, was signed as completed on 10/8/24. […]

• No harm, potential for more than minimal, isolatedF842Oct 29, 2024

  Based on observations, staff interviews, clinical record review, and facility document review, the facility staff failed to ensure complete and/or accurate clinical records for three (3) of 35 sampled residents (Resident #5, Resident #29, and Resident #88). The findings include: 1. The facility staff failed to document complete and/or accurate information related to Resident #88's wound care. Resident #88's Minimum Data Set (MDS) assessment, with an Assessment Reference Date (ARD) of 10/2/24, was signed as completed on 10/8/24. Resident #88 was assessed as usually able to make self understood and as able to understand others. […]

• No harm, potential for more than minimal, isolatedF849Oct 29, 2024

  Based on staff interview, clinical record review, and facility document review the facility staff failed to collaborate care with the contract Hospice company for 1 of 2 residents, Resident #331. The findings included: The facility staff failed to coordinate care with the contract Hospice company. The clinical record did not include Hospice visit notes. Resident #331's clinical record included the following diagnosis, malignant neoplasm of upper lobe, left bronchus or lung. There was no completed minimum data set (MDS) assessment for this resident. Resident #331's clinical record included provider orders to admit to Hospice 10/18/24. During the entrance conference the survey team requested information regarding the Hospice contracts. […]