Friendship Village

In the surveyor’s words

From the most serious findings on record at Friendship Village, in the surveyor’s own words.

• Actual harm, isolatedF689Aug 25, 2021

  This citation pertains to MI 257. Based on observation, interview and record review the facility failed to maintain resident safety during a transfer for 1 of 3 residents (Resident #101) resulting in a fall and fracture of a resident's spine. Findings include: Review of the Policy Lifting machine, Using a mechanical dated 7/2017 revealed, the purpose of this procedure is to establish the general principles of safe lifting using a mechanical lifting device and At least two (2) nursing assistants are needed to safely move a resident with a mechanical lift. Review of the Facility Reported Incident (FRI) report dated 8/20/21 at 9:30 AM revealed Certified Nurse Aide (CNA) G was transferring resident (Resident #101) from the bed to a chair using a Hoyer (brand name mechanical lift) lift. […]

• No harm, potential for more than minimal, widespreadF812Feb 29, 2024

  Based on observation, interview, and record review, the facility failed to properly label, date, and discard opened food products. These conditions resulted in an increased risk of food borne illness that affected all residents who consume food from the kitchen. Findings include: On 2/27/24 beginning at 9:05 AM, an initial tour of the kitchen/food service was conducted with Director of Culinary Services (DCS) K. The following observations/interviews occurred during this initial tour: At 9:10 AM in the main kitchen dairy cooler, noted the following: an opened container of nonfat Greek yogurt that was not labeled with an opened date or discard date and an opened container of sour cream labeled with an opened date of 2/18/24 and a discard date of 2/24/24. […]

• No harm, potential for more than minimal, widespreadF851Feb 29, 2024

  Based on interview and record review, the facility failed to submit complete and accurate direct care staffing data for the 4th quarter of 2023 (July, August, and September). Findings include: Review of PBJ (Payroll Based Journal) Staffing Data Report revealed no RN (registered nurse) hours and failed to have licensed nursing coverage 24 hours/day categories were triggered for every single day during the months of July, August, and September of 2023 (4th Quarter). During an interview on 2/27/24 at 3:40 PM., Nursing Home Administrator (NHA) A reported that he is responsible for submitting PBJ staffing data. […]

• No harm, potential for more than minimal, widespreadF812Mar 15, 2023

  Based on observation, interview, and record review the facility failed to: 1. Protect open and exposed food; 2. Date and discard potentially hazardous foods; 3. Upkeep general repair; 4. Clean food and non-food contact surfaces to sight and touch; and 5. Use proper concentration of sanitizer and have test strips available. These conditions resulted in an increased risk of contaminated foods and an increased risk of food borne illness that affected 41 residents who consume food from the kitchen. Findings Include: 1. During an initial tour of the kitchen, starting at 9:10 AM on 3/13/23, it was observed that a sheet pan, filled with individual cups of Panna [NAME], were found open and exposed near the bottom of an expediting rack. […]

• No harm, potential for more than minimal, patternF658Feb 29, 2024

  Based on observation, interview, and record review, the facility failed to follow professional standards of practice for (1) documentation of medication administration in 3 of 7 residents (Resident #1, #37, & #145) reviewed for medication administration, and (2) medication handling/storage in 1 of 8 residents (Resident #3) reviewed for medication storage, resulting in medications being left unsupervised at the bedside, and the potential for medication errors. Findings include: According to [NAME], [NAME] A.; [NAME], [NAME] Griffin; Stockert, [NAME]; Hall, [NAME]. Fundamentals of Nursing.High-quality documentation is necessary to enhance efficient, individualized patient care. […]