A list of the most recent deficiencies for Edgewood Rehab and Living Ctr. 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? |
|---|---|---|---|---|
| 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 | 2023-02-24 | 2023-03-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-24 | 2023-03-30 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-02-24 | 2023-03-30 | 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 | 2023-02-24 | 2023-03-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-24 | 2023-03-30 | N |
| Dispose of garbage and refuse properly. | Health | 2023-02-24 | 2023-03-30 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-02-24 | 2023-03-30 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-02-22 | 2023-03-23 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-02-22 | 2023-03-23 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-02-22 | 2023-03-23 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-02-22 | 2023-03-23 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-02-22 | 2023-03-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-22 | 2023-03-23 | 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 | 2023-02-22 | 2023-03-23 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-02-22 | 2023-03-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-22 | 2023-03-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-22 | 2023-03-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-22 | 2023-03-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-22 | 2023-03-23 | 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 | 2021-08-04 | 2021-10-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-04 | 2021-10-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-04 | 2021-10-22 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2021-08-04 | 2021-10-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-03 | 2021-10-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-03 | 2021-10-04 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-08-03 | 2021-09-16 | 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 | 2021-08-03 | 2021-09-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-03 | 2021-09-16 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-04-26 | 2019-06-03 | N |
