A list of the most recent deficiencies for Edgewater Woods. 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? |
|---|---|---|---|---|
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-17 | 2023-05-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-17 | 2023-05-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-05 | 2023-04-25 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-04-05 | 2023-04-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-05 | 2023-04-25 | N |
| Provide activities to meet all resident's needs. | Health | 2023-04-05 | 2023-04-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-05 | 2023-04-25 | 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 | 2023-04-05 | 2023-04-25 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-03-10 | 2022-04-01 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-03-10 | 2022-04-01 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-03-10 | 2022-04-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-03-10 | 2022-04-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-03-10 | 2022-04-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-10 | 2022-04-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-10 | 2022-04-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-10 | 2022-04-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-10 | 2022-04-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-03-10 | 2022-04-01 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2022-03-10 | 2022-04-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-10 | 2022-04-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-10 | 2022-04-01 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-03-10 | 2022-04-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-01 | 2022-03-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-01 | 2022-03-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-01 | 2022-03-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-01 | 2022-03-23 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-03-01 | 2022-03-23 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-12-07 | 2021-12-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-19 | 2021-12-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-19 | 2021-12-16 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-09-24 | 2019-10-22 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-09-24 | 2019-10-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-24 | 2019-10-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-24 | 2019-10-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-09-24 | 2019-10-22 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-08-07 | 2019-09-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-07 | 2019-09-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-07 | 2019-09-06 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-08-07 | 2019-09-06 | 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 | 2019-08-07 | 2019-09-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-10 | Not Fixed | N |
