The Friendly Home

In the surveyor’s words

From the most serious findings on record at The Friendly Home, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Aug 6, 2025

  Based on record review and staff interview it has been determined that the facility failed to ensure that a resident received adequate supervision for 1 of 1 resident reviewed who was able to successfully elope from the facility, Resident ID #1.Findings are as follows:Review of a facility reported incident submitted to the Rhode Island Department of Health on 8/1/2025 revealed that Resident ID #1 left the faciity on 7/31/2025 and was seen by a neighbor, who subsequently notified the local police department. The report further revealed that the resident was transported back to the facility by the police.Record review of a facility policy titled, Elopement assessments states in part, .It is the policy of this facility to maintain a safe and secure environment for all our residents. […]

• Immediate jeopardy, isolatedF689Dec 11, 2023

  Based on record review and staff interview, it has been determined that the facility failed to ensure that each resident receives adequate supervision and assistive devices to prevent an accident for 1 of 1 resident reviewed who experienced an actual fall, Resident ID #1. Findings are as follows: Review of a community reported complaint submitted to the Rhode Island Department of Health on 11/27/2023 revealed Resident ID #1 sustained a fall at the facility while being transferred by an unlicensed staff member. Additionally, the complaint alleged that the resident was transferred without his/her back brace applied, and without the required number of staff. […]

• Immediate jeopardy, isolatedF835Dec 11, 2023

  Based on record review and staff interview it has been determined that the facility failed to be administered in a manner that enables it to use its' resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident relative to ensuring that its' Nursing Assistants (NA) are licensed. Findings are as follows: Record review revealed Resident ID #1 was admitted to the facility in November of 2023 with diagnoses including, but not limited to; fusion of spine lumbar region (surgery of lower spine), wedge compression fracture of the third lumbar vertebra (a fracture of the front of the lower part of the spine), and weakness. […]

• Immediate jeopardy, isolatedF684Oct 30, 2023

  Based on surveyor observation, record review, and staff interview it has been determined that the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice relative to following up with the results of diagnostic testing, reporting a change in condition, and reporting recommendations from an outside provider to the attending physician for 1 of 5 residents reviewed for hospitalization , Resident ID #79. Findings are as follows: Review of a facility policy titled Resident Change in Condition last signed by the Director of Nursing Services (DNS) on 1/4/2023 states in part, .The facility will ensure that residents changes in conditions are identified timely, reported to the Physician and documented in the medical record timely… […]

• Actual harm, isolatedF692Dec 19, 2025

  Based on clinical record review and staff interview, the facility failed to maintain acceptable parameters of nutritional status, such as usual body weight, for 1 of 1 resident reviewed, who experienced actual significant weight loss of 9.06% (19.4 pounds, lbs.) in two weeks, Resident ID #120.Findings are as follows:Review of a facility policy and procedure titled Weight Loss/Gain Protocol., last revised in June of 2022, states in part, .All residents are to be weighed upon admission and at least monthly; so as to monitor for weight loss or gain for underlying causes. […]