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 25 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

  14. 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).

  15. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of January 15, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 20, 2025).

  16. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2025).

  17. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2025).

  18. No harm, with potential for more than minimal harm

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of January 15, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 20, 2025).

  19. No harm, with potential for more than minimal harm

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0640, Resident Assessment and Care Planning Deficiencies. Inspection of January 15, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 20, 2025).

  20. No harm, with potential for more than minimal harm

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of January 15, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 20, 2025).

  21. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of January 15, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 20, 2025).

  22. No harm, with potential for more than minimal harm

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of January 15, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 20, 2025).

  23. No harm, with potential for more than minimal harm

    Implement 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of January 15, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 20, 2025).

  24. No harm, with potential for more than minimal harm

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of January 15, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 20, 2025).

  25. No harm, with potential for more than minimal harm

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0849, Administration Deficiencies. Inspection of January 15, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 20, 2025).

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.