Friendship Manor Nursing & Rehab Center

In the surveyor’s words

From the most serious findings on record at Friendship Manor Nursing & Rehab Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Aug 11, 2022

  Based on observation and interview, the facility failed to ensure sanitary conditions were maintained when one can of condensed milk was dented, and two cans of white hominy (a type of corn from white corn kernels) had rusted lid and were not removed from the storage. These failures had the potential to cause widespread food borne illnesses among residents who consume food from the kitchen. Findings: On 8/8/22 at 11:05 A.M., an observation and interview were conducted with the Certified Dietary Manager (CDM) of the dry storage room. On the shelf, one can of condensed milk was dented. On the lower shelf, 2 cans of white hominy had rusted lids. The CDM stated she and the staff checked the storage room every day for outdated food items, dented cans, and rusty lids. […]

• No harm, potential for more than minimal, patternF880Aug 11, 2022

  Based on observation, interview, and record review, the facility failed to observe infection control measures when: 1. Nursing staff failed to properly disinfect resident's glucometer for four randomly selected residents (Residents 241, 46, 67, 34) according to manufacturer's specifications. 2. Nursing staff failed to remove personal protective equipment gown after resident care prior to leaving resident room. 3. Tube feed formula was not discarded upon completion. 4. Tube feed tubing was not labeled. 5. An indwelling catheter bag was in contact with the floor. These deficient practices have the potential for the development and the spread of infection to all residents. Findings: 1. […]

• No harm, potential for more than minimal, isolatedF689Jul 8, 2026

  Based on observation, interview, and record review, the facility failed to provide adequate supervision and functioning elopement prevention measures for one resident (Resident 1). As a result, Resident 1 exited the facility without staff knowledge and was later located outside the facility, placing Resident 1 at risk for serious injury or death. Findings: A review of Resident 1's admission record indicted Resident was admitted to the facility on [DATE] with initial admission on [DATE] with a diagnosis that included paranoia schizophrenia (a serious mental health condition that affects how people think, feel and behave.) On 7/8/26 at 10:34 A.M., an interview was conducted with the Director of Nursing (DON). […]

• No harm, potential for more than minimal, isolatedF686Jul 24, 2025

  Based on observation, interviews, and record review the facility failed to implement measures to prevent pressure injury (damage to the skin and underlying tissue caused by prolonged pressure on a specific area of the body) when there was no monitoring for the use of a protective head gear (helmet) for one of the two residents reviewed for pressure injury. (Resident 2).This failure had the potential to cause the development of pressure injury.Resident 2's record was reviewed. Resident 2 was readmitted to the facility on [DATE], with diagnoses which included right hemiparesis and hemiplegia (weakness or the inability to move on one side of the body, making it hard to perform everyday activities like eating or dressing) and epilepsy (a condition where a person's brain activity becomes… […]

• No harm, potential for more than minimal, isolatedF694Jul 24, 2025

  Based on observation, interview and record review, the facility failed to assess and change a peripherally inserted central catheter line (PICC - a long, thin, flexible tube inserted into a vein in the arm and threaded into a large vein near the heart) dressing for one of 18 sampled resident (Resident 40).This failure had the potential for medical complications related to Resident 40's intravenous (IV - delivery of fluids, medications, or nutrients into the body's bloodstream, usually through a needle or catheter inserted into a vein) therapy. According to the facility's admission Record, Resident 40 was admitted on [DATE] with diagnoses that included chronic osteomyelitis (bone infection) of the left ankle and foot. […]