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Friendship Health And Rehab Center

Details

Type of Ownership Non profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 373
Continuing Care? No
Resident Council? Yes
Family Council? Yes
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 09/15/2011

Date of last standard health inspection: 09/15/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 3
Average number of Health Deficiencies in VA: 3
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in VA: 0 - 11
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates 01/05/2012 02/07/2001 Few controls and keeps infection from spreading.
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/05/2012 02/07/2001 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs 01/05/2012 02/07/2001 Few with timetables and actions that can be measured.

Inspection, 00/08/2011

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. 00/08/2011 03/01/2012 2 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 00/08/2011 03/01/2012 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 00/08/2011 03/01/2012 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/08/2011 03/01/2012 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 00/08/2011 03/01/2012 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/08/2011 03/01/2012 2 Few
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 00/08/2011 03/01/2012 2 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 00/08/2011 03/01/2012 2 Few

Inspection, 02/08/2010

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide or obtain laboratory services only when ordered by the attending physician. 02/08/2010 03/01/2012 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/08/2010 03/01/2012 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 02/08/2010 03/01/2012 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/08/2010 03/01/2012 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 02/08/2010 03/01/2012 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/08/2010 03/01/2012 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/08/2010 03/01/2012 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 02/08/2010 03/01/2012 2 Few

Inspection, 01/05/2009

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Operate and provide services according to Federal, State, and local laws and professional standards. 01/05/2009 03/00/2010 2 Few
Provide or obtain laboratory services only when ordered by the attending physician. 01/05/2009 03/00/2010 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/05/2009 03/00/2010 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/05/2009 03/00/2010 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 01/05/2009 03/00/2010 2 Some
Prepare food that is nutritional 01/05/2009 03/00/2010 tasty appetizing
Store 01/05/2009 03/00/2010 and serve food in a safe and clean way. cook
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 01/05/2009 03/00/2010 2 Some
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 01/05/2009 03/00/2010 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/05/2009 03/00/2010 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/05/2009 03/00/2010 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 01/05/2009 03/00/2010 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/05/2009 03/00/2010 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 01/05/2009 03/00/2010 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 01/05/2009 03/00/2010 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 01/05/2009 03/00/2010 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/05/2009 03/00/2010 1 Some
Immediately tell the resident 01/05/2009 03/00/2010 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 01/00/2005

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 01/00/2005 00/05/2006 Some complete and organized clinical records on each re
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 01/00/2005 00/05/2006 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 02/08/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 02/08/2003 00/05/2006 Few complete and organized clinical records on each re
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 02/08/2003 01/00/2005 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 02/08/2003 01/00/2005 2 Few
Ensure that residents are safe from serious medication errors. 02/08/2003 01/00/2005 3 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/08/2003 01/00/2005 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 02/08/2003 00/05/2006 and a family member of situations (injury/decline/ the resident's doctor

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in VA Golden Living Center, Asheville
RN Staff Only1 N/A N/A 3 out of 5 stars
Total Number of Residents 86 98 362
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 9 hours 34 minutes 1 hour 29 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 8 hours 32 minutes 42 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 8 hours 57 minutes 47 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 10 hours 8 minutes 2 hours 22 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 09/28/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 09/28/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in VA: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in VA: 0 - 0

Inspection, 01/09/2011

Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 01/09/2011 01/08/2012 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Signs that state that exit doors are to be kept closed. 01/09/2011 01/08/2012 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/09/2011 01/08/2012 2 Few
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed hallway dispensers for alcohol-based hand rub. 01/09/2011 01/08/2012 2 Some

Inspection, 01/02/2011

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/02/2011 01/01/2001 2 Many
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A two-hour-resistant firewall separation. 01/02/2011 01/01/2001 2 Many
Approved construction type or materials. 01/02/2011 01/01/2001 2 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 01/02/2011 01/01/2001 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/02/2011 01/01/2001 2 Some
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 01/02/2011 01/01/2001 2 Many
Properly maintained smoke detectors. 01/02/2011 01/01/2001 2 Many
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are free from obstructions and can be used at all times. 01/02/2011 01/01/2001 2 Many
Restrictions on the use of highly flammable decorations. 01/02/2011 01/01/2001 2 Few
Restrictions on the use of flammable curtains. 01/02/2011 01/01/2001 2 Many
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed hallway dispensers for alcohol-based hand rub. 01/02/2011 01/01/2001 2 Many
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 01/02/2011 01/01/2001 2 Many

Inspection, 02/08/2009

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/08/2009 00/02/2012 2 Many
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A two-hour-resistant firewall separation. 02/08/2009 00/02/2012 2 Many
Approved construction type or materials. 02/08/2009 00/02/2012 2 Many
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 02/08/2009 00/02/2012 2 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/08/2009 00/02/2012 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/08/2009 00/02/2012 2 Few
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A written emergency evacuation plan. 02/08/2009 00/02/2012 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/08/2009 00/02/2012 2 Many
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly sized and located linen or trash receptacles. 02/08/2009 00/02/2012 2 Many
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 02/08/2009 00/02/2012 2 Many
Properly installed hallway dispensers for alcohol-based hand rub. 02/08/2009 00/02/2012 2 Some
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 02/08/2009 00/02/2012 2 Some
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 02/08/2009 00/02/2012 2 Many
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 02/08/2009 00/02/2012 2 Many
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper stairway enclosures and vertical shafts. 02/08/2009 00/02/2012 2 Some
Protected exits that allow the resident to escape the building. 02/08/2009 00/02/2012 2 Many
 

327 Hershberger Rd Nw
Roanoke, VA 24012

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