TrustPlace Public Health & Safety Portal

Last Updated on June 28, 2022

6 Friends Assisted Living

6 Friends Drive
New York NY, 10001
+12123331212
info@6friends.com
http://www.6friendscommunity.com

Last Updated on June 28, 2022

Property Information

Thank you for taking a look at our compliance page! Here you can look at the steps we are taking to be a safer and healthier community.

Please note: before you enter any of our facilities you must keep your mask on at all times. You are encouraged to utilize any of our hand sanitizing stations placed throughout the community.

Compliance Tracker

Last 30 days

On Time Completed Procedures Reported

0
Tasks Completed

Property Plan Information

0
Procedures
0
Checklist Items

Health and Safety Compliance
Plan & Status Report

For
6 Friends Assisted Living

Other

OKR Setup Event 1

  • Begin Senior Level Brain Storm

Ongoing OKR Review Monthly 2

  • Review current progress on Quarterly OKRs
  • Update predictions of how likely they are to complete their objectives

Resident Folder Checklist Event 0

    Month End Check Off List Monthly 8

    • Month End Census Report (Daily Occupancy by Financial Unit) must balance to your DOR. (Everyone moved in, moved out, transfers complete) *You should balance this daily & weekly as well!
    • Your daily deposit spreadsheet must balance to your Cash Receipts in Vitals. *This is done everyday but especially last day of the month! Please Attach Spreadsheet
    • Make sure the document list is empty
    • Please refer to Tom Lastroms detail for month-end timeliness
    • Inventory/transfers due on the 1st of the month
    • All Transactions must be allocated and receipts scanned into Key2Purchanse Banking Application on the 1st day of the month
    • Review this report every other day until all entries are finalized and period is closed. Month-end is not complete unit your accountant tells you it is closed.
    • AR Aging, Daily Occupancy by Financial Unit, Final Trial Balance, Variance Report

    CAPA for Quality Assessment Inspection Event 0

      Quality Assessment Inspection Event 29

      • Are financial transaction records complete?
      • Are funds available and are residents able to review quarterly records during normal business hours (min 20 hrs/5 days a week)?
      • Are receipts available for disbursements and kept for one year?
      • Is an interest bearing account available for funds greater than $200?
      • Administrator and staff persons are prohibited from being assigned power of attorney or guardianship of a resident or resident's estate.
      • Is an itemized accounting of transactions completed quarterly and are reports maintained for 18 months?
      • Are records maintained for 3 years?
      • Are records destroyed in a manner that protects confidentiality?
      • What is the community policy and procedures regarding records?
      • Are records stored properly?
      • Are all refunds paid within 30 days of discharge?
      • Are refunds completed per regulatory expectations if resident is deceased?
      • Are itemized accounts of resident's funds in place?
      • Are funds managed or stored by the community refunded timely?
      • Are criminal history checks in the staff person's file?
      • Are FBI checks completed on all non-PA residents (in addition to the State Police check)?
      • Are all contract agency criminal checks available?
      • Have all staff been hired in accordance with the Older Adult Protective Services Act and 6 Pa. Code Chapter 15 and other applicable regulationss?
      • Be 18 years of age or older (verify with drivers license or birth certificate), Have a high school diploma, GED, or active registry status on the PA nurse aid registry, Be free from a medical condition including drug or alcohol addiction that would limit the staff person from providing necessary care with skill & safety.
      • At all times a direct care staff who serves as a designee must be at least 21 years of age, All direct care staff providing med administration and ADL's must be at least 18 years of age, All direct care staff shall provide at least one hour per day of personal care services to mobile residents (review schedules and payroll records for compliance)
      • Are volunteers assisting with ADL's
      • Is there a current list of names, addresses, and telephone numbers of staff persons available including substitute personnel?
      • Is there at least one person for every 50 residents trained in First Aid, CPR, and Certified Obstructed Airway Techniques on staff at all times?
      • Evacuation procedures, Duties during fire drills and emergency evacuation including transportation, Designated meeting place in the event of an actual fire, Smoking safety procedures including the communities smoking policy and location of smoking areas, Location and use of fire extinguisher, Smoke detectors and fire alarms, Telephone use and notification of emergency services
      • Staff training requirements within 40 scheduled working hours (includes all direct care staff, ancillary staff, substitute personnel and volunteers): Resident rights, Emergency medical plan, Mandatory reporting of abuse and neglect under the Older Adult Protective Services Act, Reporting of reportable incidents and conditions
      • General orientation to specific job functions
      • Department approved training course and passing of competency test. (see 65d), At least 12 hours of annual training relating to their job duties (full & part time; RN's & LPN's not exempt except where CEU's may be applied. (see 65e), Training topics. (see 65f), Annual training topics. (see 65g)
      • What system is in place to monitor required staff training?
      • What is the staff training plan? (annual)

      Facilities

      Perform Daily Cleaning and Sanitization Daily 4

      • Certify that frequently touched surfaces including, but not limited to, handles, dispensers, workstations, pens, etc. and communal spaces are cleaned and disinfected according to the EPA.
      • Certify that staff has been trained on usage and storage of the disinfectants, per the EPA. If changes are made to the procedure, all staff will be retrained on the changes.
      • Certify that adequate ventilation is available (windows are open) when disinfectants are being used and that no other individuals are inside the location being disinfected other that the person using the disinfectant.
      • Clean and disinfect all medical devices and medical equipment thoroughly

      Facility UpKeep - Daily Report Daily 5

      • Make sure the outside eating area is clean
      • Check to make sure the visitor parking spots are available
      • Check to see all exterior doors are locked
      • Check to see all Exit Signs are properly lighting up
      • Check to see interior doors are shutting properly and locking automatically

      Facility Upkeep - Weekly Check Weekly 4

      • Doors to the facility are working properly
      • All Exit Signs are lighting up
      • Ramps at the front entry are working correctly
      • No cracks in the sidewalks

      Room Cleaning Event 4

      • Take off all linens and put new ones on
      • Clean all areas surrounding the bed including high touched areas
      • Clean the bathroom sink, toilet, pan and shower area
      • Replace all garbage baskets

      Quarterly Fire Drill Event 10

      • Staff Used Proper Judgement
      • Fire Department was Called
      • Residents in the Halls were Moved to an Area of Safety
      • Halls and Corridors were Free of Obstructions
      • Corridor Doors were Closed
      • Staff Monitored the Exits
      • Building was Evacuated
      • Facility Staff or Fire Department Extinguished the Fire
      • Emergency Plan was Executed Correctly
      • Staff Carried out Their Responsibilities

      Maintenance Work Order Form Event 3

      • Received by the Maintenance Team
      • Approved and in Process
      • Complete by Maintenance Team

      Resident Care

      Certify Resident Guests are Limited Weekly 3

      • Limit the number of guests per resident
      • Limit the daily number of guests per day
      • Maintain social distancing between guests and residents

      Move In Checklist: Marketing Event 7

      • Tour the facility with them
      • Show them all of the proper areas
      • History and Physical
      • VoiceFriend Form
      • Call Family 1 Day Prior to Move-In
      • Keys
      • Resident Orientation

      Wandering Dementia Patient Protocols Event 5

      • Return the patient/resident to their room safely and calmly
      • Notify the Administrator and proper supervisors
      • Keep someone bedside with the patient after returning them to their room
      • Make sure other residents are safe
      • Check to see what areas the resident may have accessed

      Move In Checklist: Maintenance Event 3

      • Apartment Key
      • Apartment Checked and Ready
      • Pest Inspection

      Move In Checklist: Wellness Event 3

      • Med List Assessment
      • PCC Tab
      • Covid Test

      Resident Orientation Event 3

      • Completed By Marketing Team
      • Completed by Resident Care
      • Completed by Dietary

      Resident Folder Check (Monthly) Event 24

      • File Check List
      • Reservation Form
      • Fees Due at Signing Financial Document
      • Reservation Check Copy
      • Emergency Info Sheet/Demographics/Face Sheet (Vitals Electronic Form)
      • Copies of Directives (POA / Living Will / Health Surrogate)
      • Insurance Cards/Driveru2019s License/Social Security Card
      • Resident Change Form
      • Addendum/Rate Change/New Lease
      • Move In Form
      • Lease Agreement
      • Rent Lock Agreement
      • Incentive Form (if applicable)
      • Auth to Release Information
      • Model Release
      • Resident Rights
      • Grievance Process
      • Elopement Procedure
      • Pet Addendum
      • Motorized Vehicle
      • House Rules for Residents and General Information u2013 Handbook
      • Other Community Forms
      • Correspondence to Family/LTC Insurance Information
      • ACH Form

      Resident Feedback Form Event 2

      • Received and Read
      • Verified

      Infection Control

      Perform Maintenance and Disinfecting of Nebulizers Event 21

      • Turn off the power button and disconnect the power cord from both the main unit and the outlet.
      • Disconnect the inhalation hose, mouthpiece, and other accessories.
      • Remove the removable water tank from the main unit
      • Remove nebulization set from the removable water tank and disassemble
      • Dispose of any remaining medication and water in the tank
      • Remove the handle cover from the water tank
      • Sterilize with either an EOG Sterilizer or a low-temp plasma sterilizer
      • Use chemical disinfectant
      • Use boiling water, chemical disinfectant or autoclave
      • Use chemical disinfectant
      • Use chemical disinfectant
      • Use Chemical Disinfectant
      • Use Chemical Disinfectant
      • Use Chemical Disinfectant
      • Use Chemical Disinfectant
      • Dispose of the old air filter and replace it with a new one.
      • Use Chemical Disinfectant, Boiling Water or an Autoclave
      • Use boiling water, chemical disinfectant or an autoclave
      • Use boiling water, chemical disinfectant or an autoclave
      • Use boiling water, chemical disinfectant or an autoclave
      • Use chemical disinfectant

      COVID-19

      COVID-19 Positive Test Event 7

      • Certify that facility is aware of positive test
      • Self isolate for at least 10 days since symptoms first appeared, at least 24 hours with no fever and fever reducing medication and until other symptoms of COVID-19 show improvement
      • Notify healthcare provider of positive test and follow actions
      • Certify symptoms are being monitored daily for symptom progression
      • Disinfect and sanitize any areas the individual may have used according to the EPA after waiting 24 hours, if possible
      • Notify the local health officials and staff of the case while maintaining privacy according to the ADA. Those that could have been exposed due to contact with the individual should self-quarantine for 14 days.
      • Self-quarantine for 14 days and monitor symptoms if close contact with a COVID-19 positive individual occurred

      Certify Establishment of Behaviors to Limit Interactions Weekly 6

      • Provide notice limiting and/or eliminating non-essential onsite visitors, volunteers and activities on site. Special care should be take to ensure individuals outside of the geographical area do not come onsite.
      • Certify a process is in place for visitors to make appointments or reserve a time to come onsite
      • Certify visits are outdoors, they can be under a canopy or tent with no walls
      • Ensure outdoor areas are accessible to visitors without entering the facility
      • Minimize in-person staff interaction by using online training and/or virtual staff meetings
      • If possible, limit business travel and limit staff travel across multiple site locations

      Certify >6 ft. Between Individuals Weekly 6

      • Have physical markings displayed on the floor to identify spacing while in communal areas
      • Certify visual marking are present and employees can maintain at least 6 feet of distance while waiting for onsite health screening at the start of shifts
      • Partitions/ sneeze guards should be placed in areas where 6 feet of distance can not be maintained
      • If possible, close off areas where employees are likely to congregate such as break rooms, parking lots or limit the access by spacing chairs
      • Verify narrow walkways have single direction foot traffic
      • Maintain greater than 6 feet of distance for outdoor activities.

      Proper Handwashing/ Sanitizing Available Daily 2

      • Certify handwashing stations or hand sanitizers with at least 60% alcohol for employees, residents and guests
      • Move toward touchless hand soap dispensers, towel dispensers, doors, to limit the touching of surfaces

      Certify Proper Training and Usage of PPE Daily 1

      • Certify staff and residents have PPE training

      Certify all Health & Safety Visual Guidance is Present Daily 2

      • Prominently display visual guidance which covers hand washing, physical distancing and PPE. The guidance should be displayed at highly used locations entrance to the facility, restrooms, recreation areas, etc.
      • Display guidance and/or communicate through email the senior facility site rules

      Covid 19 Policy Update Daily 1

      • Read the attached Covid - 19 Policy

      Inspections/Audits

      Monthly Pneumonia Care/Prevention Audit Monthly 6

      • Check that all equipment and devices are being cleaned properly.
      • Check that all devices and equipment is functioning and kept in the proper environment.
      • Check that single-use items have a designated disposal method.
      • Staff should know how to use and maintain a ventilator.
      • Check that humidifier fluids are available for all those who need them.
      • Barriers include gloves, gowns and physical barriers

      Regional Monthly Community Inspection Checklist Event 8

      • Check the dining area to make sure clean and organized seating
      • Make sure the kitchen area and all of the carts/trays are clean
      • Make sure signs are displayed and markers for 6 feet social distancing are on the ground
      • Make sure hand sanitizer is available at the main entrance desk
      • Are all Exit Signs Properly Lighting Up
      • Are all doors firmly closing and locked
      • Make sure outdoor lights are working properly
      • Make sure ramp has no cracks or dangerous impediments

      Weekly Medical Supply Cart Audit Weekly 7

      • Certify cart is locked when you arrive to do your audit
      • Certify there is disinfectant
      • Certify Hand Sanitizer is Available
      • Certify each cart has a first-aid kit
      • Full Box of N95 Masks
      • Lock the medical supply cart
      • Verify No Items are Expired

      Monthly Internal Facility Audit Monthly 4

      • Smoke Detectors must be present and functional in each sleeping area, outside each sleeping area and on each story
      • Smoke detector should be tested monthly and batteries should be changed out at least once a year
      • Manual Pull Station required if smoke detectors are not interconnected
      • Evacuation plan must be posted denoting all ambulatory, nonambulatory and bedridden rooms with approved exit routes

      Dining

      Dining Checklist and Temp Logs Daily 6

      • Vacuum and clean all common areas in the dining room
      • Set up 4 chairs per table
      • Play music at a quiet level
      • Make sure all utensils and condiments stations are filled
      • Place all plates and silverware in appropriate area
      • Make sure all of the sneeze guards are in place
      Note: This information is self-reported and managed solely by the Property.