Inspection Reports for
Friendship Home Association
714 North Division Street, Audubon, IA, 500251300
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
6.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
52% worse than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
20
15
10
5
0
Census
Latest occupancy rate
42 residents
Based on a September 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Plan of Correction
Deficiencies: 1
Date: Sep 22, 2025
Visit Reason
This document is a Statement of Deficiencies and Plan of Corrections related to the facility's compliance following a credible allegation and plan of correction.
Findings
Based on acceptance of the credible allegation of substantial compliance and Plan of Correction, the facility will be certified in compliance effective September 5, 2025.
Deficiencies (1)
Initial comments regarding acceptance of credible allegation of substantial compliance and Plan of Correction.
Inspection Report
Complaint Investigation
Census: 42
Deficiencies: 2
Date: Sep 4, 2025
Visit Reason
The inspection was conducted due to complaints regarding failure to notify residents' representatives about the placement of wander guards and inadequate nursing supervision leading to a resident elopement from the facility.
Complaint Details
The complaint investigation found that the facility did not notify the residents' representatives or POA about the placement of wander guards for Residents #2 and #3. For Resident #1, the facility failed to provide adequate supervision, resulting in the resident leaving the unit and walking outside unsupervised. The wander guard alarm was faint and not promptly responded to, and the magnetic lock on the doors was inadvertently deactivated, contributing to the elopement.
Findings
The facility failed to notify the residents' representatives or Power of Attorney about new physician orders and placement of wander guards for two residents. Additionally, the facility failed to provide adequate nursing supervision when a resident left the facility unnoticed, resulting in an elopement. The wander guard alarm system was not promptly responded to, and the magnetic lock on the unit's doors was found to be deactivated.
Deficiencies (2)
Failure to notify resident's representative/POA of new physician orders and placement of wander guards for Residents #2 and #3.
Failure to provide adequate nursing supervision leading to Resident #1 eloping from the facility.
Report Facts
Residents affected: 3
Census: 42
Residents on CCDI unit: 13
Residents on CCDI unit: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Licensed Practical Nurse (LPN) | Applied wander guard to Resident #3 and acknowledged failure to notify POA. |
| Staff C | Registered Nurse (RN) | Found Resident #1 outside after elopement and acknowledged delayed response to alarm. |
| Staff D | Licensed Practical Nurse (LPN) | Orientating nurse who described events during Resident #1 elopement. |
| Staff E | Certified Nursing Assistant (CNA) | Working on CCDI unit during Resident #1 elopement; described faint alarm and door lock status. |
| Staff F | Dietary | Assisted in returning Resident #1 after elopement. |
| Staff G | Certified Nursing Assistant (CNA) | Observed switch that deactivated magnetic door lock and described alarm response. |
| Staff H | Certified Nursing Assistant (CNA) | Working upstairs during Resident #1 elopement; described alarm and communication issues. |
| Staff I | Certified Nursing Assistant (CNA) | Described response to alarm and care for resident during elopement event. |
| DON | Director of Nursing | Acknowledged lack of family notification for wander guard use and concerns about staff response to elopement alarm. |
| Administrator | Facility Administrator | Stated expectations for family notification and discussed system issues related to elopement. |
Inspection Report
Complaint Investigation
Census: 42
Deficiencies: 2
Date: Sep 4, 2025
Visit Reason
The inspection was conducted as a result of an investigation of facility reported incident #2582120-I from September 3 to September 4, 2025, focusing on notification of changes and free of accident hazards related to resident wandering and elopement risks.
Complaint Details
Investigation of facility reported incident #2582120-I. The complaint was substantiated with findings of failure to notify family/POA and failure to provide adequate supervision leading to resident elopement.
Findings
The facility failed to notify residents and their representatives about changes in condition and placement of wander guards for residents at risk of elopement. Additionally, the facility did not provide adequate supervision to prevent accidents when a resident left the facility unsupervised, resulting in a safety incident. Multiple corrective actions and staff education were implemented.
Deficiencies (2)
Failure to notify resident and representative of changes in condition and placement of wander guards for residents #2 and #3.
Failure to ensure resident environment remains free of accident hazards and provide adequate supervision to prevent accidents, evidenced by resident #1 leaving the facility unsupervised.
Report Facts
Residents reviewed: 3
Census: 42
Deficiencies cited: 2
BIMS score: 2
BIMS score: 11
BIMS score: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Licensed Practical Nurse (LPN) | Applied wander guard to Resident #3 and acknowledged notification failures. |
| Staff C | Registered Nurse (RN) | Responded to wander guard alarms, documented resident elopement incident, and communicated with DON. |
| Staff F | Certified Nursing Assistant (CNA) | Assisted Resident #1 during elopement incident and provided statements about resident whereabouts. |
| Staff G | Certified Nursing Assistant (CNA) | Reported on alarm response and door locking issues during elopement investigation. |
| Staff I | Certified Nursing Assistant (CNA) | Stayed with resident during alarm and elopement event. |
| DON | Director of Nursing | Acknowledged lack of family/POA notification and discussed incident response. |
| Administrator | Acknowledged expectations for family/POA notification and system issues during investigation. |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jun 19, 2025
Visit Reason
Annual survey inspection of Friendship Home Association to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jun 19, 2025
Visit Reason
An annual recertification survey and investigation of facility reported incident #129225-I was conducted from June 16, 2025 to June 19, 2025.
Findings
The facility was found to be in substantial compliance at the time of the survey.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Aug 22, 2024
Visit Reason
The document reflects acceptance of a credible allegation of compliance and plan of correction for the facility.
Findings
The facility will be certified in compliance effective August 22, 2024, based on acceptance of the credible allegation of compliance and plan of correction.
Inspection Report
Annual Inspection
Census: 40
Deficiencies: 5
Date: Aug 1, 2024
Visit Reason
The inspection was conducted as a routine annual survey to assess compliance with regulatory requirements related to resident rights, abuse prevention, nutrition, and food safety.
Findings
The facility was found deficient in documenting residents' advanced directives accurately, completing background checks prior to staff employment, ensuring pureed food items were prepared and served according to the menu and nutritional standards, and maintaining proper food safety practices including dating open food containers and safe hand hygiene during meal service.
Deficiencies (5)
Failed to have correct documentation of residents' choice related to advanced directives for 1 of 5 residents reviewed.
Failed to implement abuse and neglect policy by not completing background checks prior to staff employment.
Failed to ensure residents were served food as listed on the menu and failed to accurately measure pureed food items for 3 of 3 residents reviewed.
Failed to ensure open containers of food were dated and failed to provide safe hand hygiene procedures during meal service.
Failed to mark open food packages with open dates to determine discard times.
Report Facts
Census: 40
Deficiencies cited: 5
Background check delay: 73
Residents in CCDI unit: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff D | Interviewed regarding code status documentation and resident chart procedures | |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding expectations for matching code status documentation |
| Staff E | Staff member with delayed background check completion | |
| Administrator | Administrator | Interviewed regarding background check policy and rehire procedures |
| Staff A | Dietary Aide/Cook | Observed preparing pureed foods and meal service with noted deficiencies in food preparation and hand hygiene |
| Dietary Manager | Dietary Manager (DM) | Interviewed and observed regarding food preparation, staff training, and food safety practices |
Inspection Report
Renewal
Census: 40
Deficiencies: 4
Date: Aug 1, 2024
Visit Reason
The inspection was a Recertification Survey conducted from July 29, 2024 to August 1, 2024, to assess compliance with federal regulations for the Friendship Home Association.
Findings
The facility was found deficient in several areas including conflicting documentation of residents' advance directives, failure to complete background checks prior to staff employment, improper preparation and serving of pureed foods, and food safety violations such as undated open food containers and unsafe hand hygiene practices during meal service.
Deficiencies (4)
Failed to have correct documentation of residents' choice related to advance directives for 1 of 5 residents reviewed.
Failed to implement abuse and neglect policy by not completing background checks prior to staff employment.
Failed to ensure residents were served food as listed on the menu and failed to accurately measure pureed food items for 3 of 3 residents reviewed.
Failed to ensure open containers of food were dated and failed to provide safe hand hygiene procedures during meal service.
Report Facts
Census: 40
Deficiencies cited: 4
Staff E background check delay: 74
Residents requiring pureed foods: 3
CCDI unit residents: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff D | Interviewed regarding code status documentation for Resident #27 | |
| Director of Nursing | DON | Interviewed about expectations for matching code status documentation and involved in plan of correction |
| Staff E | Staff member with delayed background check completion | |
| Administrator | Interviewed regarding background check process and rehiring of Staff E | |
| Staff A | Dietary Aide/Cook | Observed preparing pureed foods and meal service with unsafe hand hygiene practices |
| Dietary Manager | DM | Interviewed about food preparation, staff training, and food safety practices |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Dec 19, 2023
Visit Reason
The document serves as a statement of deficiencies and plan of correction following a survey to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities.
Findings
The Friendship Home Association is in substantial compliance with 42 CFR Part 483 based on acceptance of a credible allegation of substantial compliance and the submitted Plan of Correction. The facility will be certified in compliance effective December 19, 2023.
Inspection Report
Renewal
Census: 43
Deficiencies: 5
Date: Nov 9, 2023
Visit Reason
The inspection was conducted as a recertification survey for Friendship Home Association to assess compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities during November 6-9, 2023.
Findings
The facility was found non-compliant with multiple requirements including food safety and temperature control, food procurement and sanitation, licensure and compliance with federal and state laws, veteran eligibility registry, quality assessment and assurance committee attendance, and infection prevention and control practices.
Deficiencies (5)
Food prepared by methods that conserve nutritive value, flavor, and appearance; food and drink not palatable, attractive, and at a safe and appetizing temperature.
Facility failed to store food and follow proper sanitation to prevent cross contamination and spread of illness.
Facility must be licensed under applicable State and local law; failed to inquire about Veterans Affairs eligibility within 30 days of admission for 3 residents.
Facility failed to ensure required members attended Quality Assessment and Assurance committee meetings and lacked attendance signatures.
Facility failed to establish and maintain an infection prevention and control program including annual review and proper catheter care.
Report Facts
Census: 43
Deficiencies cited: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Hacker | Director of Nursing | Responsible for providing education and training related to infection control deficiencies |
Inspection Report
Routine
Census: 43
Deficiencies: 5
Date: Nov 9, 2023
Visit Reason
The inspection was conducted to assess compliance with food safety, sanitation, licensing, veteran eligibility inquiry, quality assurance committee membership, and infection prevention standards at the nursing home.
Findings
The facility was found deficient in maintaining safe food temperatures, proper food sanitation practices, timely inquiry and documentation of Veterans Affairs eligibility, attendance of required members at the Quality Assessment and Assurance committee, and appropriate infection prevention practices during catheter care. All deficiencies were noted with minimal harm or potential for actual harm to residents.
Deficiencies (5)
Failed to maintain safe and appetizing food temperatures, including cold items served above acceptable temperature.
Failed to store food and follow proper sanitation to prevent cross contamination and spread of illness.
Failed to inquire about Veterans Affairs eligibility within 30 days of admission for 3 of 3 residents reviewed.
Failed to ensure required members attended the Quality Assessment and Assurance committee meetings at least quarterly.
Failed to provide appropriate infection prevention practices during suprapubic catheter care for 1 of 2 residents observed.
Report Facts
Census: 43
Temperature: 50.2
Temperature: 49.2
Temperature: 131.1
Temperature: 107.4
Temperature: 42
Deficiencies cited: 3
Residents reviewed: 3
Residents self-identified as VA eligible but not added to registry: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Dietary Aide (DA) / Dietary (DC) | Named in findings related to food temperature and sanitation deficiencies |
| Certified Dietary Manager | Dietary Manager | Interviewed regarding food safety policies and expectations |
| Administrator | Administrator | Interviewed regarding VA eligibility process and QAA committee attendance |
| Staff B | Dietary Aide (DA) | Named in sanitation deficiency related to food handling and VA eligibility training |
| Staff D | Certified Nurse's Aide (CNA) | Observed and interviewed regarding catheter care infection prevention practices |
| Staff E | Certified Nurse's Aide (CNA) | Observed assisting with catheter care |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding infection prevention expectations and QAA committee |
Inspection Report
Complaint Investigation
Census: 43
Deficiencies: 4
Date: Jul 20, 2023
Visit Reason
Investigation of Complaint #113813-C and Facility Reported Incidents #109746-I, #111671-I, #111753-I, and #114157-I conducted from July 11, 2023 to July 20, 2023.
Complaint Details
Complaint #113813-C was substantiated. Facility reported incidents #109746-I, #111671-I, #111753-I, and #114157-I were all substantiated.
Findings
The facility was found to have multiple deficiencies including failure to provide regular toileting for a cognitively impaired resident, inadequate supervision to prevent accidents leading to falls and injuries for two residents, failure to account for all narcotic medications for one resident, and failure to ensure residents were free from significant medication errors related to improper medication orders and administration.
Deficiencies (4)
Failed to provide regular toileting for Resident #4 who was unable to communicate toileting needs, resulting in waiting over 3 hours despite care plan instructions to offer toileting every 2 hours.
Failed to provide adequate supervision and safe use of fall mats for Residents #6 and #1, resulting in multiple falls and injuries including major injury traumatic subdural hygroma and subdural hematoma.
Failed to account for all narcotic medications for Resident #9, with approximately 6.5 ml of liquid Lorazepam missing.
Failed to ensure residents were free from significant medication errors for Resident #9 due to improper transcription and continuation of Lorazepam orders beyond authorized doses, and incorrect units (milliliters vs milligrams) used in medication administration.
Report Facts
Census: 43
Missing medication volume: 6.5
Lorazepam doses given without order: 9
Lorazepam bottle volume: 30
Lorazepam bottle volume: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff P | Registered Nurse (RN) | Mentioned in toileting and fall supervision findings |
| Staff L | Certified Nurse Aide (CNA) | Mentioned in toileting findings for Resident #4 |
| Staff Q | Certified Nurse Aide (CNA) | Witnessed fall of Resident #6 |
| Staff A | Registered Nurse (RN) | Involved in fall incident and medication storage observation |
| Staff D | Certified Nurse Aide (CNA) | Witnessed fall of Resident #6 |
| Staff I | Certified Nurse Aide (CNA) | Mentioned in fall supervision for Resident #1 |
| Staff F | Licensed Practical Nurse (LPN) | Nurse on duty during Resident #1 fall |
| Staff E | Certified Nurse Aide (CNA) | Mentioned in fall supervision for Resident #1 |
| Staff Z | Registered Nurse (RN) | Reported missing Lorazepam for Resident #9 |
| Staff O | Certified Medication Aide (CMA) | Observed performing narcotic count |
| Staff N | Licensed Practical Nurse (LPN) | Interviewed regarding missing Lorazepam |
| Staff M | Licensed Practical Nurse (LPN) | Interviewed regarding missing Lorazepam |
| Staff C | Licensed Practical Nurse (LPN) | Interviewed regarding narcotic count procedures |
| Director of Nursing | Director of Nursing (DON) | Provided statements on toileting, fall mat use, medication orders, and narcotic storage |
| Pharmacist | Pharmacist | Interviewed regarding Lorazepam order and delivery |
Inspection Report
Census: 43
Deficiencies: 4
Date: Jul 20, 2023
Visit Reason
The inspection was conducted to evaluate compliance with care standards related to toileting assistance, accident prevention, medication management, and medication error prevention at Friendship Home Association.
Findings
The facility failed to provide regular toileting assistance to a cognitively impaired resident, failed to provide adequate supervision to prevent accidents resulting in falls and injuries for two residents, failed to account for missing narcotic medication, and failed to ensure residents were free from medication errors related to incorrect transcription and administration of Lorazepam.
Deficiencies (4)
Failed to provide regular toileting for 1 of 3 residents reviewed, resulting in resident waiting over 3 hours without toileting assistance.
Failed to provide adequate supervision to prevent accidents for 2 of 6 residents, resulting in falls and major injuries related to fall mats and supervision lapses.
Failed to account for missing narcotic medication (6.5 ml of liquid Lorazepam) for 1 of 3 residents reviewed.
Failed to ensure residents were free from medication errors for 1 of 3 residents reviewed due to incorrect transcription and administration of Lorazepam doses.
Report Facts
Residents affected: 1
Residents affected: 2
Residents affected: 1
Residents affected: 1
Census: 43
Missing medication volume: 6.5
Lorazepam doses given without order: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff P | Registered Nurse (RN) | Mentioned in toileting deficiency observation and fall mat supervision |
| Staff L | Certified Nurse Aide (CNA) | Mentioned in toileting deficiency observation |
| Staff Q | Certified Nurse Aide (CNA) | Reported finding Resident #6 on floor after fall |
| Staff A | Registered Nurse (RN) | Provided statements regarding Resident #6 condition and medication count |
| Staff C | Licensed Practical Nurse (LPN) | Reported on Resident #6 fall and behaviors |
| Staff D | Certified Nurse Aide (CNA) | Reported on Resident #6 fall and fall mat condition |
| Staff I | Certified Nurse Aide (CNA) | Reported on Resident #1 mat use and assistance needs |
| Staff F | Licensed Practical Nurse (LPN) | Nurse on duty during Resident #1 fall and mat removal |
| Staff E | Certified Nurse Aide (CNA) | Reported on Resident #1 fall and fall mat use |
| Staff Z | Registered Nurse (RN) | Notified DON of missing Lorazepam |
| Staff O | Certified Medication Aide (CMA) | Observed performing narcotic count |
| Staff N | Licensed Practical Nurse (LPN) | Discussed missing Lorazepam and drug testing |
| Staff M | Licensed Practical Nurse (LPN) | Discussed missing Lorazepam and narcotic count practices |
| Staff A | Registered Nurse (RN) | Confirmed narcotic storage process |
| Director of Nursing | Director of Nursing (DON) | Provided statements on toileting expectations, fall mat use, medication order transcription, and narcotic policies |
| Staff P | Registered Nurse (RN) | Noted fall mat removal from Resident #1 room |
| Staff C | Licensed Practical Nurse (LPN) | Reported on Resident #6 fall and behaviors |
| Pharmacist | Provided information on Lorazepam delivery and order details |
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Aug 2, 2022
Visit Reason
An onsite revisit survey was conducted on August 2, 2022 for the recertification with intakes #98553-I and #104976-C conducted on June 27, 2022 - June 30, 2022.
Findings
All deficiencies identified in the previous survey have been corrected and the facility is in compliance with all regulations surveyed.
Inspection Report
Complaint Investigation
Census: 42
Deficiencies: 2
Date: Jun 30, 2022
Visit Reason
A recertification survey with intakes #98553-I and #104976-C was conducted from 6/27/22 to 6/30/22 by Healthcare Management Solutions, LLC on behalf of the Iowa Department of Inspections and Appeals. The visit was complaint-related and both complaints #98553 and #104976 were substantiated.
Complaint Details
Complaint #98553 and Complaint #104976 were substantiated.
Findings
The facility failed to develop a person-centered comprehensive care plan for oxygen use for one of 19 residents reviewed (Resident #5). Additionally, the facility failed to implement a bedside fall mat to prevent injury for one of three residents reviewed for falls (Resident #192), resulting in a major injury. The facility reported a census of 42 residents during the survey.
Deficiencies (2)
Failed to develop and implement a comprehensive care plan for oxygen use for Resident #5.
Failed to implement a bedside fall mat to prevent injury for Resident #192, resulting in a subarachnoid hemorrhage after a fall.
Report Facts
Census: 42
Residents reviewed for care plans: 19
Residents reviewed for falls: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing (DON) | Explained expectations regarding care plans and acknowledged missed care planning for oxygen and fall prevention. | |
| MDS Coordinator | Acknowledged Resident #5's oxygen use was not care planned and was responsible for ensuring care plans were completed. | |
| Advanced Registered Nurse Practitioner (ARNP) | Signed Major Injury Determination Form for Resident #192. |
Inspection Report
Annual Inspection
Census: 37
Deficiencies: 4
Date: Jan 7, 2021
Visit Reason
The facility's annual recertification survey was completed on 01/07/2021 to assess compliance with federal regulations and identify any deficiencies.
Findings
The survey identified deficiencies related to failure to obtain complete criminal background checks for staff, failure to notify residents or representatives of bed hold policies, failure to develop and update comprehensive care plans, and failure to maintain food safety standards during meal service.
Deficiencies (4)
Failure to obtain a complete criminal background check within 30 days prior to hire for 1 of 5 staff.
Failure to notify resident or representative of bed hold policy for 1 of 2 residents reviewed.
Failure to develop and update comprehensive care plan for 1 of 1 residents reviewed.
Failure to serve food under sanitary conditions during meal observation.
Report Facts
Census: 37
Staff with incomplete background check: 1
Residents reviewed for bed hold policy: 2
Residents reviewed for care plan: 1
Meals observed: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Certified Nurse's Aide (CNA) | Named in deficiency related to incomplete criminal background check |
| Administrator | Confirmed incomplete background check and provided statements regarding policies | |
| Director of Nursing (DON) | Director of Nursing | Provided statements regarding bed hold policy and documentation |
| MDS Coordinator | Provided statements regarding comprehensive care plan and medication orders | |
| Dietary Aide (DA) | Dietary Aide | Observed during food safety deficiency |
| Dietary Manager | Acknowledged expectations for glove use and hand washing; conducted staff education |
Inspection Report
Abbreviated Survey
Census: 37
Deficiencies: 2
Date: Aug 17, 2020
Visit Reason
A Focused COVID-19 Infection Control Survey and investigation of Facility Reported Incident #89878-I was conducted ending on 08/17/2020.
Complaint Details
Facility Reported Incident #89878-I was substantiated.
Findings
The facility was found to have deficiencies related to accident hazards and infection control, including failure to provide adequate supervision to prevent accidents for one resident and failure to implement appropriate infection control practices, such as mask usage and social distancing.
Deficiencies (2)
Facility failed to provide adequate supervision to prevent accidents for one of four residents reviewed, resulting in a resident falling and hitting their head.
Failure to maintain an infection prevention and control program, including failure to ensure staff wore masks properly and maintain social distancing in the dining room.
Report Facts
Census: 37
Resident falls: 1
Residents observed in dining room: 18
Residents sitting less than six feet apart: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Certified Nurses' Aide (CNA) | Reported expectation to take residents to the bathroom every couple hours and was observed with face mask pulled down under chin. |
| Director of Nursing | Director of Nursing (DON) | Explained expectation to assist residents to the toilet every two hours and identified dining room tables size and social distancing policies. |
| Administrator | Administrator | Reported facility probably did not have a policy related to toileting schedule. |
| Staff B | Registered Nurse (RN) | Observed sitting behind nurses' station with mask down below chin and never moved mask over face. |
| Staff C | Certified Nurses' Aide (CNA) | Assisted resident with snack without hand hygiene and was observed with mask pulled down under chin. |
Inspection Report
Abbreviated Survey
Census: 40
Deficiencies: 0
Date: Jun 18, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the Department of Inspection and Appeals to assess the facility's compliance with CMS and CDC recommended practices for COVID-19 preparation.
Findings
The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Feb 6, 2020
Visit Reason
The inspection was conducted to investigate three complaints numbered 84093-C, 84205-C, and 85065-C.
Complaint Details
Complaint #85065-C was not substantiated. Complaint #84205-C was not substantiated. Complaint #84093-C was not substantiated.
Findings
All three complaints investigated were found to be not substantiated according to the report.
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