Inspection Reports for
Friendship Village Tempe

Investigation of intake # 00160885 was conducted on March 24, 2026. No deficiencies were cited.

No deficiencies were cited during this complaint investigation.

A complaint investigation was conducted on June 6, 2025 of intake #SF0132213 and intake #AZ00224723. There were no deficiencies cited.

No deficiencies were cited during this complaint investigation.

Investigation of intakes # 00129360, 00129246 and AZ00224409, AZ00224418 was conducted on May 9, 2025. No deficiencies were cited.

No deficiencies were cited during this complaint investigation.

A complaint investigation was conducted on April 18, 2025 through April 18, 2025 of intakes# 00125214, 00125362, 0012650, 00115590. A complaint survey was completed April 18, 2025 through April 18, 2025 of intakes# AZ00224031, AZ00224042, AZ00224172, AZ00223522. There were no deficiencies cited.

This inspection resulted in no deficiencies cited.

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 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 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 inspection found one deficiency related to the failure to maintain several corridor doors, resulting in gaps that could allow heat and smoke transfer, posing a risk to patients and staff.

A recertification and relicensure survey was conducted in conjunction with the investigation of complaint intakes AZ00211224, AZ00207606, and AZ00207571. Federal comments noted investigation of complaint intakes AZ00211221, AZ00207605, and AZ00207571.

The inspection found 11 deficiencies related to clinical record accuracy, notification of transfers, medication administration, infection control, abuse reporting and investigation, resident dignity, unnecessary medication administration, care planning, and food storage practices.

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 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.

An onsite complaint survey was conducted on September 9 through September 10, 2024 for the investigation of intake # AZ00173801, AZ00169975, AZ00167406, AZ00159339, AZ00159310, AZ00145298. There were no deficiencies cited.

No deficiencies were cited during this complaint investigation.

An onsite complaint investigation was conducted on April 5, 2024 for the investigation of intake #s AZ00208543 and AZ00208555. Federal comments also note an onsite complaint investigation for intake #s AZ00208543 and AZ00208554. There were no deficiencies cited.

No deficiencies were cited during this complaint investigation.

The relicensing survey was conducted October 2, 2023 through October 6, 2023, in conjunction with the investigation of complaint # AZ00185009, AZ00190941, AZ00189333, AZ00191582, AZ00187593, AZ00185038, AZ00191029, AZ00189336. The Recertification Survey was conducted October 2, 2023 through October 6, 2023, in conjunction with the investigation of Complaints # AZ00185009, AZ00190941, AZ00189333, AZ00191582, AZ00187593, AZ00185036AZ00191027, AZ00189334.

The inspection found four deficiencies related to incomplete and incorrect daily nurse staffing postings and failure to administer pain medication within physician ordered parameters. Plans of correction were provided for all deficiencies.

The inspection identified six deficiencies related to fire safety systems including fire alarm accessibility, maintenance of fire alarm batteries, sprinkler system inspections, fire door maintenance, HVAC smoke damper inspections, and documentation of annual fire door inspections.

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.

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.