Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Friendship Haven Healthcare And Rehabilitation Cen during CMS and state inspections, most recent first.
A resident with multiple chronic conditions was not readmitted to the facility after a hospital transfer for a change in condition, despite a successful appeal against discharge. Facility leadership cited ongoing harassment by the resident's responsible party as the reason for refusing readmission, and the resident was ultimately discharged home without her wheelchair. The facility's discharge policy lacked guidance on post-appeal procedures.
A resident with profound intellectual disabilities and multiple comorbidities did not have PASRR evaluation recommendations, including the need for a customized manual wheelchair, incorporated into their assessment or care plan. The required NFSS form was not submitted due to staff misunderstanding about payer requirements, and the facility's PASRR submission policy was not provided during the survey.
Staff failed to consistently follow infection control protocols, including the use of PPE and proper hand hygiene, during care for three residents with complex medical needs. In separate incidents, staff did not wear required PPE during a transfer for a resident with a Foley catheter, and two CNAs did not perform hand hygiene as required during incontinent care for residents with neurological and urological conditions, despite recent training and clear facility policies.
A resident with multiple health conditions and moderate cognitive impairment was subjected to abuse by an RN who yelled at and hit her while administering medication. The incident was witnessed by an LVN, who reported it immediately. The resident expressed feelings of not being safe, although she did not press charges. The RN was terminated for not following the facility's ANE policy.
A facility failed to obtain a signed consent for the administration of Cogentin for a resident with intact cognition and multiple diagnoses, including Unspecified Dementia and Schizoaffective Disorder. Despite the resident recalling giving consent, the original signed document was missing from the records. An LVN confirmed that the consent forms should be uploaded to the electronic medical records system, but the signed consent for Cogentin could not be found.
The facility failed to provide meals at regular times, with breakfast and lunch consistently served late over three days. Residents expressed dissatisfaction with the timeliness, temperature, portion size, and taste of the food. Staff interviews revealed systemic issues in the dietary department, including prioritization of the dining room and improper handling of meal tickets, contributing to delays. The facility's policy on meal service times was not provided.
Two residents in a LTC facility experienced unsanitary living conditions, with unclean rooms and issues with flies and gnats affecting their comfort. Interviews revealed that housekeeping was infrequent and staff were short-staffed, leading to inadequate cleaning. The DON and Administrator were unaware of the specific issues, and the facility lacked policies for maintaining a homelike environment.
Failure to Readmit Resident After Hospitalization Despite Successful Appeal
Penalty
Summary
The facility failed to permit a resident to remain in the facility and did not ensure the resident was readmitted after being sent to the hospital for a change in condition. The resident, an elderly female with multiple diagnoses including dementia, diabetes, hypertension, heart disease, anemia, and mobility issues, was originally admitted and later readmitted to the facility. After a change in condition, she was sent to the hospital for evaluation. Despite her responsible party winning an appeal against discharge, the facility refused to readmit her upon her return from the hospital, and she was ultimately discharged to her home without her wheelchair. Interviews with facility staff, including the DON and Administrator, revealed that the decision not to readmit the resident was made by the corporate office, citing ongoing harassment of staff and other residents by the resident's responsible party. The Administrator acknowledged awareness of the successful appeal but prioritized the safety of staff and other residents due to complaints and resignations attributed to the responsible party's behavior. The facility's discharge policy did not provide evidence of procedures following an appeal process. Attempts to contact the resident's physician and hospital social worker for further information were unsuccessful.
Failure to Incorporate PASRR Recommendations and Submit Required NFSS Documentation
Penalty
Summary
The facility failed to incorporate recommendations from a PASRR (Preadmission Screening and Resident Review) evaluation into the assessment, care planning, and transition of care for a resident with profound intellectual disabilities. Specifically, the PASRR evaluation recommended that the resident receive a customized manual wheelchair, but this recommendation was not included in the resident's assessment or care plan. Additionally, there was no evidence in the clinical records that the required NFSS (Nursing Facility Specialized Services) form was completed or submitted for the resident. Interviews revealed that the MDS Coordinator did not submit the NFSS form because the resident did not have an approved Medicaid payer source at the time, and the coordinator was unaware that submission was required regardless of payer status. The facility's policy on PASRR submission was requested but not provided before the survey exit. The resident involved had multiple diagnoses, including profound intellectual disabilities, major depressive disorder, anxiety disorder, osteoarthritis, prediabetes, gastric ulcer, anemia, osteoporosis, and end-stage renal disease.
Failure to Adhere to Infection Control and Enhanced Barrier Precautions
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program for three residents, as evidenced by multiple lapses in infection control practices. For one resident with a Foley catheter and severe cognitive impairment, both the Assistant Director of Nursing (ADON) and a restorative aide transferred the resident from a wheelchair to a bed without donning the required personal protective equipment (PPE), despite enhanced barrier precautions signage and PPE being available outside the room. Both staff members acknowledged awareness of the policy and recent training but stated they forgot to use PPE during the transfer. In another instance, a certified nursing assistant (CNA) provided incontinent care to a resident with a history of cerebral infarction and hemiplegia without performing hand hygiene prior to care. The CNA double-gloved, used the same gloves to handle soiled wipes and supplies, and only sanitized hands after completing care. The CNA admitted to not washing hands before care and cited the lack of hand sanitizer in the room as a reason for not following proper hand hygiene protocols. A third resident, who had an indwelling catheter due to neurogenic bladder, received incontinent care from a CNA and an LVN. While both staff members initially wore proper PPE and performed hand hygiene, the CNA failed to sanitize hands between glove changes during the care process. The CNA used soiled gloves to handle supplies and did not perform hand hygiene before donning new gloves, only washing hands at the end of the procedure. Both staff members were aware of the facility's infection control policies and had received recent training.
Resident Abuse Incident Involving RN
Penalty
Summary
The facility failed to ensure that a resident was free from abuse, as evidenced by an incident involving a registered nurse (RN A) and a resident (Resident #79). The incident occurred when RN A yelled at and hit the resident while attempting to administer medication. This event was witnessed by another staff member, LVN B, who reported that RN A threatened the resident with a shot and then hit her on the forearm with an open hand. The resident, who was moderately cognitively impaired, had a history of being resistive to care and refusing medications. Resident #79, a female with multiple diagnoses including acute kidney failure, hypertension, COPD, Parkinson's, and epilepsy, was identified as having verbal behavior symptoms directed toward others. Her care plan noted her resistiveness to care and included interventions to minimize risks related to her refusal of care and medications. Despite these interventions, the incident with RN A occurred, highlighting a failure in maintaining a safe environment for the resident. Interviews conducted during the investigation revealed that the resident expressed feelings of not being safe, although she did not specify any particular staff member or incident. The police and a detective were involved in the investigation, but the resident chose not to press charges. The facility's Director of Nursing (DON) confirmed the incident and stated that RN A was terminated for not following the facility's abuse, neglect, and exploitation (ANE) policy.
Failure to Obtain Signed Consent for Medication Administration
Penalty
Summary
The facility failed to ensure that a resident was fully informed and understood their health status, care, and treatments, specifically regarding the administration of the medication Cogentin. This deficiency was identified during a review of pharmacy services for a resident who was prescribed Cogentin, a medication used to treat symptoms of Parkinson's disease and similar symptoms caused by certain medications. The resident, a female with a history of Unspecified Dementia, Drug Induced Subacute Dyskinesia, Schizoaffective Disorder, Depression, and Anxiety Disorder, had a BIMS score indicating intact cognition. Despite this, the facility did not have a signed consent form for the administration of Cogentin in the resident's records. Interviews and record reviews revealed that the facility's process for managing medication consents was not followed. The psychiatric-mental health nurse practitioner had signed a consent form, but the original signed consent was missing from the records. A letter from the resident indicated that she remembered giving consent on two separate dates, but the original document could not be located. An LVN confirmed that the signed consent forms should be uploaded to the facility's electronic medical records system, but was unable to find the signed consent for Cogentin. This oversight could potentially place residents at risk of not having the opportunity to refuse medications or ask questions about their treatments.
Delayed Meal Service in LTC Facility
Penalty
Summary
The facility failed to ensure that residents received meals at regular times comparable to normal mealtimes in the community or in accordance with resident needs and preferences. Over the course of three days, observations and interviews revealed that breakfast and lunch were consistently served late to residents in certain halls, with breakfast trays arriving as late as 9:00 AM and lunch trays as late as 1:08 PM. This delay in meal service was attributed to the dining room being prioritized first, and issues with the sorting and distribution of meal tickets and trays. Residents expressed dissatisfaction with the meal service, citing concerns about the timeliness, temperature, portion size, and taste of the food. Several residents reported that they often had to wait up to 1 to 2 hours for their meals, leading to frustration and instances where meals were left uneaten. The Dietary Manager acknowledged that the meal tickets were not being handled properly, contributing to the delays, and noted that the food temperatures were not being maintained on the carts. Interviews with staff, including the Dietary Manager and Corporate Manager, highlighted systemic issues within the dietary department, such as the process of hand-breading and frying meals, which contributed to delays. The facility's policy on meal service times was requested but not provided, indicating a lack of clear guidelines or adherence to existing protocols. The Facility Administrator acknowledged ongoing problems with the food service department and the impact of these issues on resident satisfaction and nutrition.
Failure to Maintain a Clean and Homelike Environment
Penalty
Summary
The facility failed to provide a safe, sanitary, and homelike environment for two residents, as observed during a survey. The room shared by the residents was found to be unclean, with a bag under the bed, tissue paper on the floor, sticky floors, and residue under both beds. The walls behind the beds had paint removed, and the headboard of one bed was leaning forward. Additionally, the fall mat for one resident was dirty and stained. The residents reported issues with flies and gnats in their room, which affected their ability to eat comfortably. One resident mentioned that housekeeping was infrequent, and the other noted that housekeeping staff often cleaned around items rather than moving them. Interviews with the residents revealed their dissatisfaction with the cleanliness of their room. One resident, who had moderate cognitive impairment, expressed concern about flies around her food and mentioned that she had informed her caregiver about the issue. The other resident, who was cognitively intact, reported seeing flies and small roaches and stated that housekeeping staff were short-staffed and sometimes had an attitude when asked to clean. This resident also mentioned that her roommate's caregiver had complained to management, but no action seemed to have been taken. Interviews with staff, including a CNA, the DON, and the Administrator, highlighted issues with housekeeping staffing and communication. The CNA mentioned the absence of a housekeeper on the hall, while the DON was unaware of the room's condition and the staffing issue. The Administrator acknowledged being aware of the cleaning issues and planned to address them. However, the facility could not provide policies covering expectations for a safe, homelike environment, and the Housekeeping Supervisor was unavailable for comment.
What surveyors are citing around you — mapped
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What surveyors actually found near you
We read the 401 citations issued within 25 miles in the last 12 months — including the 36 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Friendswood
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Regency Village | 3.7 mi | ★★★★★ | 4 | 0 |
| Ignite Medical Resort Webster, Llc | 4.8 mi | ★★★★★ | 1 | 0 |
| Focused Care At Webster | 4.9 mi | ★★★★★ | 8 | 2 |
| Park Manor Of South Belt | 5.6 mi | ★★★★★ | 2 | 0 |
| Magnolia Crossing Nursing And Rehabilitation Cente | 5.7 mi | ★★★★★ | 6 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.