Friendship Health and Rehab Center - South

In the surveyor’s words

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

• Immediate jeopardy, isolatedF761Jun 18, 2025

  Based on staff interview, clinical record review and facility document review the facility staff failed to accurately label medications for 1 of 2 residents, Resident #1. The findings included: For Resident #1 the facility staff failed to ensure the medication Morphine Sulfate was labeled with the correct dosage, resulting in the resident receiving multiple incorrect doses. Resident #1's face sheet listed diagnoses which included but not limited to multiple sclerosis, epilepsy, long term use of opiate analgesic, and personal history of traumatic brain injury. Resident #1's most recent minimum data set with an assessment reference date of 11/18/24 assigned the resident a brief interview for mental status score of 3 out of 15. […]

• No harm, potential for more than minimal, patternF755Apr 25, 2024

  Based on staff interview, clinical record review, facility document review and during a medication pass and pour observation the facility staff failed to ensure medications were available for administration for 4 of 26 residents, #57, #76, #18, and #44. The findings included: 1. For Resident #57 the facility staff failed to ensure the medication Tylenol 500 mg was available for administration. Resident #57's face sheet listed diagnoses which included but not limited to rheumatoid arthritis, anxiety disorder, osteoarthritis, and scoliosis. Resident #57's most recent minimum data set with an assessment reference date of 02/19/24 assigned the resident a brief interview for mental status score of 14 out of 15 in section C, cognitive patterns. […]

• No harm, potential for more than minimal, patternF761Oct 13, 2022

  Based on observation, staff interview, clinical record review, and facility document review, the facility staff failed to ensure medications/supplements were stored in a locked compartment in a resident room for 1 of 24 (Resident #27), failed to label and store medication appropriately on 1 of 4 wings (wing 1), failed to keep medications in direct line of sight until administered for 1 of 4 Residents during a medication pass (Resident #10), and failed to lock an unattended medication cart on 1 of 4 wings (wing 3). The findings include: 1. For Resident #27, the facility staff failed to store supplements in a locked compartment. Resident #27 had been approved to self-administer their supplements these were observed to be kept in an unlocked drawer in the residents room. […]

• No harm, potential for more than minimal, isolatedF658Jun 18, 2025

  Based on staff interview, clinical record review, and facility policy review the facility staff failed to follow professional standards of practice for the administration of medications for 1 of 2 residents, Resident #1. The finding included: For Resident #1 the facility staff failed compare the medication label to the physician's order, resulting in the resident receiving multiple incorrect doses of the medication morphine sulfate. Resident #1's face sheet listed diagnoses which included but not limited to multiple sclerosis, epilepsy, long term use of opiate analgesic, and personal history of traumatic brain injury. Resident #1's most recent minimum data set with an assessment reference date of 11/18/24 assigned the resident a brief interview for mental status score of 3 out of 15. […]

• No harm, potential for more than minimal, isolatedF554Apr 25, 2024

  Based on resident interview, staff interview, clinical record review and facility document review the facility staff failed to ensure 1 of 26 residents was clinically appropriate for self-administration of medications. The findings included: For Resident #56 the facility staff failed to complete a self-administration of medications assessment. Resident #56's face sheet listed diagnoses which included but not limited to traumatic subdural hematoma without loss of consciousness, quadriplegia, moderate persistent asthma, and personal history of other diseases of the respiratory system. Resident #56's most recent minimum data set with an assessment reference date of 01/21/24 assigned the resident a brief interview for mental status score of 15 out of 15 in section C, cognitive patterns. […]