A list of the most recent deficiencies for Edgewood Estates. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-28 | 2023-08-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-28 | 2023-08-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-28 | 2023-08-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-06 | 2023-08-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-06 | 2023-08-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-22 | 2023-08-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-22 | 2023-08-15 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-06-06 | 2023-07-15 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2023-06-06 | 2023-07-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-06 | 2023-07-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-22 | 2023-04-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-22 | 2023-04-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-02-22 | 2023-04-02 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-02-22 | 2023-04-02 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-02-22 | 2023-04-02 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-02-22 | 2023-04-02 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-02-22 | 2023-04-02 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-02-22 | 2023-04-02 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-02-22 | 2023-04-02 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2023-02-22 | 2023-04-02 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-02-22 | 2023-04-02 | Y |
| Keep all essential equipment working safely. | Health | 2023-02-22 | 2023-04-02 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-09 | 2020-01-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-09 | 2020-01-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-01-09 | 2020-01-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-09 | 2020-01-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-09 | 2020-01-24 | 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 | 2020-01-09 | 2020-01-24 | N |
| Ensure that smoke control systems are tested and documented in accordance with established engineering principles. | Fire Safety | 2020-01-08 | 2020-01-14 | 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 | 2018-10-25 | 2018-11-16 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-10-25 | 2018-11-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-25 | 2018-11-16 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-10-23 | 2018-11-16 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-09-08 | 2017-09-30 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-09-08 | 2017-09-30 | 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 | 2017-09-08 | 2017-09-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-09-08 | 2017-09-30 | N |
