A list of the most recent deficiencies for Edgewater Skilled Nursing Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Construct fire resistant interior walls. | Fire Safety | 2023-12-29 | 2024-03-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-12-29 | 2024-03-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-29 | 2024-03-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-29 | 2024-03-06 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2023-12-29 | 2024-03-06 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-01-30 | 2024-02-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-30 | 2024-02-21 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-29 | 2024-01-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-29 | 2024-01-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-12-29 | 2024-01-18 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-12-29 | 2024-01-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-29 | 2024-01-18 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-12-29 | 2024-01-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-19 | 2023-10-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-19 | 2023-10-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-21 | 2023-09-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-21 | 2023-09-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-13 | 2023-02-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-13 | 2023-02-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-01-13 | 2023-02-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-13 | 2023-02-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-13 | 2023-02-09 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-01-13 | 2023-02-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-13 | 2023-02-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-13 | 2023-02-09 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-01-13 | 2023-02-09 | N |
| 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. | Health | 2023-01-13 | 2023-02-09 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-01-13 | 2023-02-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-13 | 2023-02-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-13 | 2023-02-09 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-01-13 | 2023-02-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-10 | 2023-02-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-14 | 2022-11-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-20 | 2022-07-08 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-28 | 2020-04-08 | N |
| 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. | Health | 2020-02-28 | 2020-04-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-28 | 2020-04-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-28 | 2020-04-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-28 | 2020-04-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-28 | 2020-04-08 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2020-02-28 | 2020-04-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-02-28 | 2020-04-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-28 | 2020-04-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-02-28 | 2020-04-08 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2020-02-28 | 2020-04-08 | N |
| 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. | Health | 2020-02-28 | 2020-04-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-28 | 2020-04-08 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-02-28 | 2020-04-08 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2020-02-28 | 2020-04-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-28 | 2020-04-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-29 | 2020-03-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-29 | 2020-03-25 | N |
