Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Friendship Rehab and Health

BEAVER, PA · 589 certified beds · Last Life Safety survey March 13, 2026

CMS Certification Number 395015 · first certified January 1978

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

42
Citations on file
CMS's current file
4
Life Safety surveys
CMS's current file
12
Tags cited more than once
Across separate surveys
13
Inspection & testing records
Of the citations on file

Position within PA

42 citations — more than 99% of the 656 certified nursing homes in PA. Compared within PA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in CMS's current file.

The latest survey found 10 citations; the earlier surveys on file averaged 10.7. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens January 2027 — about 3 months from now. This facility’s last Life Safety survey was March 2026. Facilities in PA are typically surveyed 11–12 months after the last one (median 11), measured over 1,101 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured

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Which alerts

4 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

9 of the 42 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

27 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 42 Life Safety citations above. The Physical Environment Index

  • F-0584 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.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0908 Keep all essential equipment working safely.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
  • F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

How that compares

Citations in CMS's current file

Compared with the median facility in PA, and nationally. Surveyors differ markedly between states, so the PA figure is the meaningful one.

This facility42PA median10National median11
Citations in CMS's current file, compared
MeasureCitations
This facility42
Median facility in PA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
122024-0382024-06122025-02102026-03
Citations at each Life Safety survey
Survey dateCitations
March 13, 202412
June 27, 20248
February 14, 202512
March 13, 202610

Most-cited tags

Most-cited tags at this facility
K-03534K-03214K-03743E-00412K-09202K-01312K-09232K-03632
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.42026-03-13
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.42026-03-13
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.32026-03-13
E-0041Implement emergency and standby power systems.22024-06-27
K-0920Ensure proper usage of power strips and extension cords.22025-02-14
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.22025-02-14
K-0923Have proper medical gas storage and administration areas.22026-03-13
K-0363Install corridor and hallway doors that block smoke.22025-02-14

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 18
  • Emergency Preparedness Deficiencies 9
  • Gas, Vacuum, and Electrical Systems Deficiencies 8
  • Egress Deficiencies 5
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies18
Emergency Preparedness Deficiencies9
Gas, Vacuum, and Electrical Systems Deficiencies8
Egress Deficiencies5
Construction Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 13, 2026 — 10 citations

Citations issued on March 13, 2026
TagWhat the surveyor checksStatus
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (May 11, 2026)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (May 11, 2026)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (May 11, 2026)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (May 11, 2026)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (May 11, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (May 11, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 11, 2026)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (May 11, 2026)
K-0912Have power receptacles that are properly grounded.Deficient, Provider has date of correction (May 11, 2026)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (May 11, 2026)

February 14, 2025 — 12 citations

Citations issued on February 14, 2025
TagWhat the surveyor checksStatus
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.Deficient, Provider has date of correction (February 21, 2025)
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (February 21, 2025)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (February 21, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (February 21, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 21, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 21, 2025)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (February 21, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 21, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (February 21, 2025)
K-0908Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.Deficient, Provider has date of correction (February 21, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (February 21, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (February 21, 2025)

June 27, 2024 — 8 citations

Citations issued on June 27, 2024
TagWhat the surveyor checksStatus
E-0009Include a process for Emergency Preparedness collaboration.Deficient, Provider has date of correction (August 2, 2024)
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (August 2, 2024)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (August 2, 2024)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (August 2, 2024)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (August 2, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (July 20, 2024)
K-0343Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.Deficient, Provider has date of correction (August 2, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 2, 2024)

March 13, 2024 — 12 citations

Citations issued on March 13, 2024
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (April 16, 2024)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (April 16, 2024)
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.Deficient, Provider has date of correction (April 16, 2024)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (April 16, 2024)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (April 16, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (April 16, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 16, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 16, 2024)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (April 16, 2024)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (April 16, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 16, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (April 16, 2024)

Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.