Deficiency Records for Edgewater, A Wesleylife Community
Updated as of February 01, 2022
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? |
|---|---|---|---|---|
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-06-23 | 2021-07-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-23 | 2021-07-23 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-06-23 | 2021-07-23 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-23 | 2021-07-23 | Y |
| 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 | 2021-06-23 | 2021-07-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-23 | 2021-07-23 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-06-23 | 2021-07-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-06-10 | 2020-07-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-12 | 2020-04-04 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-22 | 2019-09-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-08-22 | 2019-09-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-22 | 2019-09-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-22 | 2019-09-20 | 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 | 2019-08-22 | 2019-09-06 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-08-22 | 2019-08-30 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-08-22 | 2019-08-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-15 | 2019-08-16 | N |
| 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 necessary and PRN use is limited. | 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 |
