Friendship Haven Healthcare and Rehabilitation Cen

Scope/severity G — ACTUAL HARM

Survey 2024-11-07 · Tag F0600 · Complaint investigation · Past Non-Compliance · Correction reported 2024-10-06

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

What this scope/severity letter means: A resident was actually harmed. CMS found real harm occurred, affecting one resident. How the A–L grid works

Scope/severity G — ACTUAL HARM

Survey 2023-09-01 · Tag F0684 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-09-30

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

What this scope/severity letter means: A resident was actually harmed. CMS found real harm occurred, affecting one resident. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-09-04 · Tag F0627 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-09-05

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-09-04 · Tag F0644 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-09-05

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2025-03-29 · Tag F0880 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-04-04

Provide and implement an infection prevention and control program.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2024-11-07 · Tag F0809 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-11-15

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-09-04 · Tag F0584 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-09-27

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-09-01 · Tag F0580 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-09-30

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2023-09-01 · Tag F0677 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-09-16

Provide care and assistance to perform activities of daily living for any resident who is unable.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-09-01 · Tag F0760 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-09-16

Ensure that residents are free from significant medication errors.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity F — Potential for harm

Survey 2023-09-01 · Tag F0812 · Routine survey · Deficient, Provider has date of correction · Correction reported 2023-09-04

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it affected the facility broadly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-09-01 · Tag F0814 · Routine survey · Deficient, Provider has date of correction · Correction reported 2023-09-04

Dispose of garbage and refuse properly.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-09-01 · Tag F0842 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-09-30

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2022-06-16 · Tag F0550 · Routine survey · Deficient, Provider has date of correction · Correction reported 2022-06-24

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2022-06-16 · Tag F0558 · Routine survey · Deficient, Provider has date of correction · Correction reported 2022-06-24

Reasonably accommodate the needs and preferences of each resident.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2022-06-16 · Tag F0584 · Routine survey · Deficient, Provider has date of correction · Correction reported 2022-06-24

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2022-06-16 · Tag F0804 · Routine survey · Deficient, Provider has date of correction · Correction reported 2022-06-24

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works