Deficiency Records for Edgewater, A Wesleylife Community
Updated as of January 01, 2019
This is not the most recent data for Edgewater, A Wesleylife Community. For the most recent information, click here.
A list of the most recent deficiencies for Edgewater, A Wesleylife Community. 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? |
|---|---|---|---|---|
| Assess the resident when there is a significant change in condition | Health | 2018-05-31 | 2018-06-29 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-05-31 | 2018-06-29 | 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 ne | Health | 2018-05-31 | 2018-06-29 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-06-13 | 2018-06-26 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-06-13 | 2018-06-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-06-13 | 2018-06-26 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-06-13 | 2018-06-26 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-06-13 | 2018-06-26 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-06-13 | 2018-06-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-06-13 | 2018-06-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-06-13 | 2018-06-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-06-13 | 2018-06-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-06-13 | 2018-06-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-04-04 | 2017-05-04 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-03-30 | 2017-04-29 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-03-30 | 2017-04-29 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-03-30 | 2017-04-29 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2017-03-30 | 2017-04-29 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-30 | 2017-04-29 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-30 | 2017-04-29 | 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 | 2017-04-04 | 2017-04-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-04-04 | 2017-04-04 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2016-10-19 | 2016-11-09 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-10-19 | 2016-11-09 | Y |
| Exits that are accessible at all times. | Fire Safety | 2016-04-05 | 2016-05-12 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-04-05 | 2016-05-12 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-03-31 | 2016-04-29 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-03-31 | 2016-04-29 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2016-03-31 | 2016-04-29 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-03-31 | 2016-04-29 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-03-31 | 2016-04-29 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-02-11 | 2016-03-04 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-11 | 2016-03-04 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-02-11 | 2016-03-04 | Y |
