Inspection Reports for
Friendship Manor

Facility Reported Incident IL200380: no violations cited.

The establishment was found in compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code 210 ILCS 9/1 Assisted Living and Shared Housing Act.

Complaint #2621807/IL200162 and Facility Reported Incident IL200177: no violations cited.

The establishment was found in compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act.

The establishment failed to complete proper documentation regarding fire drills, including actual evacuations and detailed evacuation drill records. This failure had the probability to affect all 96 residents and creates a substantial probability of severe harm.

The establishment was found in compliance with all applicable regulations during the annual licensure survey.

The facility updated the service plan for resident R1 to reflect fall history and interventions, reviewed and revised service plans for all assisted living and memory care residents with recent falls, conducted fall risk assessments, educated staff on fall risk assessments, and implemented ongoing audits and quality assurance monitoring.

FRI IL 179267: Violation 295.4010 e) cited.

The establishment failed to revise one of three sampled residents' service plans after multiple unwitnessed falls, as confirmed by staff interviews.

The facility failed to follow their policy requiring two staff members to perform mechanical lift transfers, resulting in a resident slipping from the sling and falling. The facility counseled staff and now ensures two trained CNAs perform mechanical lift transfers.

The facility failed to ensure safe transfer of a resident using a lift machine, resulting in a fall and a displaced fracture of the resident's right femur.

The facility failed to ensure a resident was safely positioned in bed, resulting in a fall and head injury requiring staples.

The facility failed to follow its fall prevention program, resulting in multiple falls with injuries to three residents. Additionally, the facility failed to implement Enhanced Barrier Precautions to prevent the spread of multi-drug resistant organisms, potentially affecting all 73 residents.

The facility was found to have multiple deficiencies including failure to perform catheter care properly leading to repeated urinary tract infections for one resident, failure to identify appropriate indications and target behaviors for psychotropic medication use in one resident, and failure to store food items properly in the facility refrigerator risking all 79 residents.

The facility failed to protect a resident from mental and emotional abuse by a certified nursing assistant, resulting in the resident feeling demeaned, degraded, and angry. The CNA was terminated following the incident.

The facility was cited for multiple deficiencies including failure to timely report suspected abuse, failure to revise care plans after incidents, inadequate pressure ulcer care, failure to use gait belts during transfers, and issues with COVID-19 testing and vaccination tracking among staff.