All citations for Friendship Village Sunset Hills

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

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Last standard health inspection on record

January 28, 2025

Showing 1 to 11 of 11 citations

No harm, with potential for more than minimal harm
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0346, Smoke Deficiencies. Inspection of January 28, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 13, 2025).
No harm, with potential for more than minimal harm
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0354, Smoke Deficiencies. Inspection of January 28, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 13, 2025).
No harm, with potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Pattern (more than a few residents). CMS level E.
Health citation F-0550, Resident Rights Deficiencies. Inspection of January 28, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 14, 2025).
No harm, with potential for more than minimal harm
Observe each nurse aide's job performance and give regular training.
Pattern (more than a few residents). CMS level E.
Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of January 28, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 28, 2025).
No harm, with potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pattern (more than a few residents). CMS level E.
Health citation F-0755, Pharmacy Service Deficiencies. Inspection of January 28, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 14, 2025).
No harm, with potential for more than minimal harm
Ensure that residents are free from significant medication errors.
Pattern (more than a few residents). CMS level E.
Health citation F-0760, Pharmacy Service Deficiencies. Inspection of January 28, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 14, 2025).
No harm, with potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Isolated (one or a few residents). CMS level D.
Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of January 28, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 14, 2025).
No harm, with potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Isolated (one or a few residents). CMS level D.
Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of January 28, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 14, 2025).
No harm, with potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
Isolated (one or a few residents). CMS level D.
Health citation F-0759, Pharmacy Service Deficiencies. Inspection of January 28, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 14, 2025).
No harm, with potential for more than minimal harm
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Isolated (one or a few residents). CMS level D.
Health citation F-0808, Nutrition and Dietary Deficiencies. Inspection of January 28, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 14, 2025).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Isolated (one or a few residents). CMS level D.
Health citation F-0880, Infection Control Deficiencies. Inspection of January 28, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 14, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.