All citations for Mennonite Friendship Communities Inc

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.

Back to Mennonite Friendship Communities Inc

Last standard health inspection on record

January 15, 2025

Showing 1 to 25 of 70 citations

Immediate jeopardy to resident health or safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Widespread (many residents). CMS level L.
Fire safety citation K-0222, Egress Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 21, 2025).
No harm, with potential for more than minimal harm
Address patient/client population and determine types of services needed.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 21, 2025).
No harm, with potential for more than minimal harm
Establish policies and procedures for medical documentation.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0023, Emergency Preparedness Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 21, 2025).
No harm, with potential for more than minimal harm
Establish policies and procedures for volunteers.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 21, 2025).
No harm, with potential for more than minimal harm
Establish roles under a Waiver declared by secretary.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 21, 2025).
No harm, with potential for more than minimal harm
Provide emergency officials' contact information.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 21, 2025).
No harm, with potential for more than minimal harm
Provide primary/alternate means for communication.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0032, Emergency Preparedness Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 21, 2025).
No harm, with potential for more than minimal harm
Provide a means of sharing information on occupancy/needs.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0034, Emergency Preparedness Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 21, 2025).
No harm, with potential for more than minimal harm
Provide family notifications of emergency plan.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0035, Emergency Preparedness Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 21, 2025).
No harm, with potential for more than minimal harm
Establish staff and initial training requirements.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 21, 2025).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Widespread (many residents). CMS level F.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 21, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 21, 2025).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Widespread (many residents). CMS level F.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 21, 2025).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Widespread (many residents). CMS level F.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 21, 2025).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of March 9, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 14, 2023).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Widespread (many residents). CMS level F.
Health citation F-0880, Infection Control Deficiencies. Inspection of March 9, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 14, 2023).
No harm, with potential for more than minimal harm
Address patient/client population and determine types of services needed.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of March 9, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 12, 2023).
No harm, with potential for more than minimal harm
Address subsistence needs for staff and patients.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of March 9, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 12, 2023).
No harm, with potential for more than minimal harm
Establish policies and procedures for volunteers.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of March 9, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 12, 2023).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of March 9, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 12, 2023).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 9, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 12, 2023).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Widespread (many residents). CMS level F.
Fire safety citation K-0355, Smoke Deficiencies. Inspection of March 9, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 12, 2023).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Widespread (many residents). CMS level F.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of March 9, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 12, 2023).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of March 9, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 12, 2023).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 9, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 12, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.