Inspection Reports for
Friendship Village Tempe

Complaint investigation cited two deficiencies related to abuse reporting and medical record maintenance.

The complaint involved an incident on March 5, 2025, where Resident #30 was allegedly pulled out of bed roughly by a staff member. The facility reported the incident to Adult Protective Services, Police Department, and Arizona Department of Health Services on March 6, 2025, exceeding the required reporting timeframe. The allegation was substantiated as the facility acknowledged the delay in reporting. Another complaint involved verbal abuse toward Resident #24 on February 14, 2025, which was investigated but not documented in the clinical record.

The facility failed to report a staff-to-resident abuse incident involving Resident #30 in a timely manner, reporting it 24 hours after the incident occurred. Additionally, the facility failed to document allegations of verbal abuse involving Resident #24 in the clinical record, contrary to policy requiring documentation of all incidents.

The complaint involved an incident on March 5, 2025, where Resident #30 was pulled out of bed roughly by a staff member. The facility reported the incident to authorities on March 6, 2025, exceeding the required reporting timeframe. The allegation was substantiated as the facility acknowledged the delay in reporting. Another complaint involved verbal abuse to Resident #24 on February 14, 2025, which was investigated but not documented in the clinical record due to confidentiality policies.

The facility failed to timely report an incident of staff-to-resident abuse involving Resident #30, reporting it 24 hours after the incident occurred. Additionally, the facility failed to ensure accurate and complete clinical documentation regarding an allegation of verbal abuse involving Resident #24. The deficient practices could result in continued abuse and inaccurate resident records.

Complaint investigation cited two deficiencies related to policies and procedures and abuse reporting.

The complaint involved an allegation that a Certified Nursing Assistant (CNA) threw a TV remote at Resident #63 and held his hand too tightly during care. The LPN who was informed of the allegation failed to report it immediately as required by facility policy. The facility investigation confirmed the delay in reporting and initiated corrective actions including suspension and termination of the LPN. The complaint was substantiated.

The facility failed to ensure the abuse policy was followed regarding an incident where a staff member allegedly threw a TV remote at Resident #63 and held his hand too tightly. The Licensed Practical Nurse (LPN) who received the abuse report did not timely report it to supervisors as required. The facility delayed investigation and reporting until approximately 12:30 p.m. the day after the incident. The facility suspended and terminated the LPN for failure to follow abuse reporting policy. The deficient practice could result in continued staff to resident abuse.

The complaint involved an allegation that a CNA threw a TV remote at Resident #63 and held his hand too tightly during care. The LPN who was informed of the abuse failed to report it immediately as required by facility policy. The allegation was substantiated by interviews and policy review. The LPN was suspended and terminated for failure to report. The facility delayed investigation and reporting by approximately 18 hours after the resident's report.

The facility failed to ensure that the abuse policy was followed, including timely reporting of the abuse allegation. The LPN who received the abuse complaint from the resident did not report it immediately as required, delaying the investigation and reporting process until the following day. The facility suspended and terminated the LPN for this failure. The deficient practice could result in continued staff to resident abuse.

Complaint survey cited four deficiencies including policies and procedures, abuse reporting, resident abuse, and premises maintenance.

The complaint investigation was triggered by an alleged abuse incident on March 2, 2025, involving Resident #55 inappropriately touching Resident #39. Multiple staff witnessed the event and confirmed the abuse. The facility investigation revealed failure to report the incident within the mandatory two-hour timeframe to Adult Protective Services and the State Agency. The abuse was substantiated based on staff statements, video footage review, and interviews.

The facility failed to prevent and properly document abuse between residents #39 and #55, including inappropriate touching despite staff witnessing the event. The abuse was not reported within the required two-hour timeframe to Adult Protective Services and the State Agency. The facility also failed to provide adequate supervision to prevent elopement of Resident #14, who left the building unnoticed and was found across the street by security. Policies on abuse prevention and elopement were reviewed, revealing gaps in timely reporting and supervision.

The complaint involved allegations that Resident #55 physically and sexually abused Resident #39 on March 2, 2025. Multiple staff witnessed inappropriate touching despite re-direction attempts. The facility investigation confirmed the allegations but failed to report the incident within the mandatory two-hour timeframe to the State Agency and Adult Protective Services. The abuse was reported the following day. The complaint also included failure to prevent elopement of Resident #14 on February 14, 2025, who left the facility unnoticed and was found across the street by security.

The facility failed to ensure that Resident #39 was protected from physical and sexual abuse by Resident #55, and failed to report the abuse allegations within the required two-hour timeframe. Additionally, the facility failed to provide adequate supervision to prevent Resident #14 from eloping, resulting in the resident leaving the building unnoticed.

Recertification survey for Medicare under Life Safety Code 2012 found no apparent deficiencies based on acceptance of a plan of correction.

The complaint investigation found that the resident missed a dose of Fosfomycin antibiotic and the physician was not notified as required. Interviews with nursing staff and the Director of Nursing confirmed the failure to notify and the lack of a facility policy on physician notification.

The facility failed to ensure that Fosfomycin antibiotic was administered as ordered to resident #104, missing the first dose on May 16, 2024, and failed to notify the physician of the missed dose. Interviews with nursing staff confirmed the medication was not available in the emergency kit and that notification procedures were not consistently followed. The facility lacked a policy on physician notification for missed doses.

The complaint investigation found that the resident missed a dose of antibiotic therapy and the physician was not notified as required. The issue was substantiated based on clinical record review and staff interviews.

The facility failed to ensure that Fosfomycin antibiotic was administered as ordered to resident #104, missing the first dose on May 16, 2024, and failed to notify the physician timely about the missed dose. Interviews with nursing staff and the Director of Nursing confirmed the lack of notification and medication availability issues.

The facility was found deficient in multiple areas including failure to respect resident privacy, failure to report and investigate alleged abuse, failure to notify resident representatives and ombudsman of transfers, inadequate assistance with activities of daily living, medication administration errors including unavailable medications and improper patch application, unsafe food storage practices, inaccurate clinical records, and improper infection control practices related to catheter bag and oxygen tubing placement.

The facility was found deficient in multiple areas including failure to respect resident privacy, failure to timely report and investigate alleged abuse, failure to notify resident representatives and ombudsman of transfers, inadequate provision of activities of daily living such as bathing, medication administration errors including improper application of lidocaine patch and missed medications, food safety violations related to uncovered food and improper handling of seasonings, inaccurate clinical records, and improper infection control practices regarding catheter bag and oxygen tubing placement.

Recertification and relicensure survey with complaint investigation cited 11 deficiencies including policies and procedures, abuse reporting, dignity, medication, care planning, and food storage.

The facility failed to ensure that daily nurse staffing postings were complete and accurate, with missing or incorrect information on registered nurse and licensed practical nurse staffing and hours worked. Additionally, the facility failed to administer pain medication to Resident #32 within the physician-ordered parameters, resulting in unnecessary medication administration.

The visit was complaint-related, triggered by concerns about incomplete nurse staffing postings and improper administration of pain medication to Resident #32. The complaint was substantiated based on staff interviews and record reviews.

The facility failed to ensure that daily nurse staffing information was complete and accurate on multiple dates. Additionally, the facility failed to administer morphine sulfate within physician-ordered pain level parameters for Resident #32, resulting in potential overmedication.

Relicensing survey with complaint investigation cited four deficiencies including nurse staffing information, unnecessary drugs, and nursing personnel documentation.

Recertification survey for Medicare under Life Safety Code 2012 cited six deficiencies related to fire alarm system, sprinkler system, door maintenance, HVAC, and fire door inspection.

The facility was found deficient in multiple areas including failure to provide written notification of bed hold policy to residents or their representatives, failure to provide copies of baseline care plan summaries, and failure to administer medications strictly according to physician orders and document appropriately. Additionally, food safety issues were noted including moldy food items and unclean dishware.

The facility was found deficient in multiple areas including failure to provide written bed hold policy to residents or their representatives, failure to provide baseline care plan summaries to residents or representatives, medication administration outside physician ordered parameters without documentation or physician notification, and food safety violations including moldy food and unclean dishware.