Friendship Haven Healthcare And Rehabilitation Center

Penalties

• Nov 7, 2024 — Fine ($8,018)

Inspection findings

1. Feb 20, 2026 Health · 4 findings
   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Mar 17, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Mar 17, 2026 · CMS health inspection

   • Not serious Scope/severity E

     K0355 Smoke Deficiencies

     Properly select, install, inspect, or maintain portable fire extinguishes.

     Corrected Feb 21, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Feb 21, 2026 · CMS fire safety

2. Sep 4, 2025 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0627 Resident Rights Deficiencies

     Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

     Corrected Sep 5, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0644 Resident Assessment and Care Planning Deficiencies

     Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

     Corrected Sep 5, 2025 · CMS health inspection

3. Mar 29, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Apr 4, 2025 · CMS health inspection

4. Nov 7, 2024 Health · 3 findings
   • Serious Scope/severity G Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Oct 6, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0809 Nutrition and Dietary Deficiencies

     Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

     Corrected Nov 15, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Nov 6, 2024 · CMS fire safety

5. Sep 4, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0584 Resident Rights Deficiencies

     Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

     Corrected Sep 27, 2024 · CMS health inspection

6. Sep 1, 2023 Health · 10 findings
   • Not serious Scope/severity D Complaint

     F0580 Resident Rights Deficiencies

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

     Corrected Sep 30, 2023 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Sep 16, 2023 · CMS health inspection

   • Serious Scope/severity G Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Sep 30, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Sep 16, 2023 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Sep 4, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0814 Nutrition and Dietary Deficiencies

     Dispose of garbage and refuse properly.

     Corrected Sep 4, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Sep 30, 2023 · CMS health inspection

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Sep 22, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Sep 4, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Sep 4, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• BALSAMO, KRYSTAL — operational/managerial control, NOT APPLICABLE, since 09/29/2021
• BALSAMO, KRYSTAL — adp of the snf, NOT APPLICABLE, since 09/29/2021
• CULP, ROLAND — adp of the snf, NOT APPLICABLE, since 02/01/2012
• CULP, ROLAND — operational/managerial control, NOT APPLICABLE, since 02/01/2012
• DASPIT, LAURENCE — adp of the snf, NOT APPLICABLE, since 02/01/2012
• DASPIT, LAURENCE — operational/managerial control, NOT APPLICABLE, since 02/01/2012
• DOHN, WILLIAM — adp of the snf, NOT APPLICABLE, since 03/27/2019
• DOHN, WILLIAM — operational/managerial control, NOT APPLICABLE, since 03/27/2019
• MURRELL, EDWARD — corporate officer, NOT APPLICABLE, since 11/01/2012
• MURRELL, EDWARD — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• NAESETH, JODDIE — adp of the snf, NOT APPLICABLE, since 08/20/2001
• NAESETH, JODDIE — operational/managerial control, NOT APPLICABLE, since 08/20/2001
• NODARSE, YEISLENY — adp of the snf, NOT APPLICABLE, since 08/30/2022
• NODARSE, YEISLENY — operational/managerial control, NOT APPLICABLE, since 08/30/2022
• PICO, ANA — adp of the snf, NOT APPLICABLE, since 02/01/2012
• PICO, ANA — operational/managerial control, NOT APPLICABLE, since 02/01/2012
• PRINCE, DEREK — adp of the snf, NOT APPLICABLE, since 02/01/2012
• PRINCE, DEREK — operational/managerial control, NOT APPLICABLE, since 02/01/2012
• REINARZ, CHRISTIAN — adp of the snf, NOT APPLICABLE, since 05/13/2024
• REINARZ, CHRISTIAN — operational/managerial control, NOT APPLICABLE, since 05/13/2024
• ROLLO, JEFFERY — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• ROLLO, JEFFERY — corporate officer, NOT APPLICABLE, since 11/01/2012
• STANBRIDGE, NORMA — adp of the snf, NOT APPLICABLE, since 09/29/2014
• STRAMECKI, ANTHONY — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• STRAMECKI, ANTHONY — corporate director, NOT APPLICABLE, since 11/01/2016
• VRATIS, KACEY — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• WALSH, BRENT — adp of the snf, NOT APPLICABLE, since 12/10/1970
• WALSH, BRENT — operational/managerial control, NOT APPLICABLE, since 04/03/2023
• WAY, GEORGE — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• CHP FRIENDSWOOD SNF LLC — adp of the snf, NOT APPLICABLE, since 06/27/2025
• CIBC BANK USA — adp of the snf, NOT APPLICABLE, since 04/01/2018
• CIBC BANK USA — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• FORVIS MAZARS LLP — adp of the snf, NOT APPLICABLE, since 04/01/2018
• FRIENDSWOOD TRS LLC — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• ZIONS BANCORPORATION — adp of the snf, NOT APPLICABLE, since 04/01/2018