Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Renewal
Census: 23
Capacity: 45
Deficiencies: 2
Aug 23, 2023
Visit Reason
The inspection was conducted as a renewal licensing study to evaluate compliance with applicable rules and regulations for license renewal of The Jackson Friendly Home.
Findings
The facility was found to be non-compliant with medication management rules related to as-needed medication orders and documentation, and the laundry room lacked sufficient ventilation and separate storage for soiled linens. Violations were established for both medication management and laundry/linen processing.
Deficiencies (2)
| Description |
|---|
| Medication orders for as-needed medications lacked specific written instructions and staff did not always document reasons for administration consistent with licensed healthcare professional orders. |
| Facility laundry room lacked sufficient ventilation and a separate storage area for soiled linens. |
Report Facts
Capacity: 45
Residents observed/interviewed: 23
Staff interviewed/observed: 8
Excluded employees followed up: 3
Inspection Report
Original Licensing
Capacity: 45
Deficiencies: 0
Feb 22, 2018
Visit Reason
The visit was conducted as an addendum to the Original Licensing Study Report to review and approve physical plant changes including a new exterior wood deck and ramp, new elevator, enclosed fire stair escape, window replacement with a door, whole-home generator, and fire alarm and electrical upgrades.
Findings
The facility's physical plant changes have been completed and approved by the Bureau of Fire Services and Health Facilities Evaluation Section. The previous elevator has been decommissioned. It is recommended that the license status remain unchanged.
Report Facts
Capacity: 45
Inspection Report
Original Licensing
Capacity: 45
Deficiencies: 0
Dec 6, 2016
Visit Reason
The authorized representative requested removal of Room 119 and Room 225 from the licensed bed capacity and licensing of Room 117 and Room 118 to replace them.
Findings
The review of facility room sheets concluded that the licensed bed capacity remains unchanged at 45 beds despite the room changes requested.
Report Facts
Licensed bed capacity: 45
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sarah Slamer | Administrator/Authorized Representative | Requested changes to licensed bed capacity |
| Loma M Campbell | Licensing Staff | Conducted inspection and authored report |
| Russell Misiak | Area Manager | Approved the report |
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