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FRIENDSHIP HEALTH AND REHAB Inspection Report, Violations & Safety Grade (CLEVELAND, Georgia)

161 FRIENDSHIP ROAD, CLEVELAND, Georgia 30528

Phone: 7068653131

CMS Overall:5/5

Overview & Bed Count

Certified Beds
89
Avg Residents/Day
72.3
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
White
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health5/5
Staffing3/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityGeorgia AvgDifference
RN Hours per Resident per Day0.410.50-0.10
Total Nurse Hours per Resident per Day3.983.61+0.37
CMS Staffing Rating3/52.3/5-
Nursing Staff Turnover29.2%46.8%-

Health Citation History

4 health citations on record

DateCategoryDescriptionSeverity
2025-04-24Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2023-04-16Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2023-04-16Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.E – Moderate Harm Potential
2023-04-16Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential

Fire Safety Citation History

13 fire safety citations on record

DateCategoryDescriptionSeverity
2026-04-26Egress DeficienciesProvide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.D – Moderate Harm Potential
2026-04-26Egress DeficienciesHave exits that are accessible at all times.D – Moderate Harm Potential
2026-04-26Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.D – Moderate Harm Potential
2026-04-26Smoke DeficienciesConstruct fire resistant interior walls.D – Moderate Harm Potential
2026-04-26Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential
2025-04-24Egress DeficienciesProvide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.F – Moderate Harm Potential
2025-04-24Egress DeficienciesHave properly located and lighted "Exit" signs.D – Moderate Harm Potential
2025-04-24Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2025-04-24Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.D – Moderate Harm Potential
2023-04-16Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.F – Moderate Harm Potential
2023-04-16Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2023-04-16Smoke DeficienciesInstall a fire alarm system that can be heard throughout the facility.D – Moderate Harm Potential
2023-04-16Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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