Friendship Village of Dublin

In the surveyor’s words

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

• Actual harm, isolatedF697Nov 15, 2021

  Based on medical record review, resident, staff, Physician and pharmacist personnel interview, review of the emergency medication box receipt and policy review, the facility failed to effectively manage Resident #2's pain upon admission to the facility. This resulted in Actual Harm when Resident #2 was not provided with a pain assessment and/or sufficient pain medications following admission and the resident experienced excruciating pain requiring physician evaluation/treatment. This affected one (#2) of three residents reviewed for pain medications. Facility census was 41. Findings include: Review of the medical record for Resident #2 revealed an admitted [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF880Jun 4, 2026

  Based on interviews, facility record review, review of Centers for Disease Control and Prevention (CDC) guidance, and facility policy review the facility failed to ensure hot water storage tanks were maintained at a safe temperature to prevent legionella growth. This had the potential to affect all residents residing in the facility. The census was 45. Findings include: Review of the facility's monthly domestic hot water system temperature readings revealed gas water heater #1 return flow temperature reading was found to be reading at 130 degrees Fahrenheit (F), output reading was found to be 129 degrees F on 01/27/25. A work order was placed on 01/27/25. A return flow reading was 130 degrees F and output reading was 130 degrees F on 02/28/25 and a work order placed on 02/28/25. […]

• No harm, potential for more than minimal, widespreadF812Nov 14, 2024

  Based on observations, staff interviews and policy review the facility failed to prepare, distribute and serve food in a safe, sanitary manner. This had the potential to affect all residents. The census was 40. Findings Include: Observation on 11/13/24 at 11:30 A.M. of the lunch meal preparation revealed [NAME] #501 and Dietary Aid #502 preparing food for the meal and neither worker were observed to have beard covers on, to cover their cheeks, upper lip, and chin hair while working in the kitchen . This observation was verified by Director of Dietary Quality Assurance #700. Interview on 11/13/24 at 11:45 A.M. with [NAME] #501 confirmed he should have had a beard cover on while cooking the food. […]

• No harm, potential for more than minimal, widespreadF880Nov 14, 2024

  Based on record review, staff interviews, review of the facility's water management program, review of facility policy and review of the Centers for Disease Control and Prevention's (CDC) guidance, the facility failed to ensure adequate monitoring of the water management program to control the spread of waterborne pathogens. This had the potential to affect all 40 residents. The census was 40. Findings include: Interview on 11/14/24 at 9:01 A.M. with the Facilities Director #450 confirmed the facility had performed a Legionella (bacteria that can cause a severe type of pneumonia) risk assessment in April of 2024. Review of the facility's binder titled Water Management, no date, on 11/14/24 at 9:01 A.M. […]

• No harm, potential for more than minimal, widespreadF812Jun 2, 2022

  Based on observation, facility policy and procedure review and interview the facility staff failed to ensure the hood and filter system in the main kitchen and serving kitchen food production areas were maintained in a clean and sanitary manner to prevent the contamination of food. This had the potential to affect all 45 residents residing in the facility who consumed food prepared in the two areas. Findings include: On 05/31/22 at 8:45 A.M. observations during the kitchen tour revealed the main kitchen hood and filters above the stove were very dusty. Interview with Executive Chef #101 at the time of the observation verified the dust on the hood and filters and revealed they were last cleaned by a contracted company on 02/01/22. On 05/31/22 at 8:55 A.M. […]