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Deficiency Records for Edgebrook Care Center
View the most recent health deficiencies and inspection results for Edgebrook Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Edgebrook Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2025-11-19 | 2025-12-27 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-11-19 | 2025-12-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-11-19 | 2025-12-27 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2025-11-19 | 2025-12-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-11-19 | 2025-12-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-11-19 | 2025-12-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-11-19 | 2025-12-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-11-19 | 2025-12-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-11-19 | 2025-12-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-11-19 | 2025-12-15 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2025-11-19 | 2025-12-15 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-08-22 | 2025-08-19 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-15 | 2024-12-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-15 | 2024-12-20 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-10-15 | 2024-12-09 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-10-15 | 2024-11-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-15 | 2024-11-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-10-15 | 2024-11-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-15 | 2024-11-14 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-10-15 | 2024-11-14 | 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 | 2024-10-15 | 2024-11-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-10-15 | 2024-11-05 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-10-15 | 2024-11-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-10-15 | 2024-11-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-15 | 2024-11-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-10-15 | 2024-11-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-10-15 | 2024-11-05 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-10-15 | 2024-11-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-01-24 | 2024-03-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-24 | 2024-03-01 | 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 | 2024-01-24 | 2024-02-28 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-01-24 | 2024-02-13 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-01-24 | 2024-02-09 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-01-24 | 2024-02-09 | 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 | 2023-07-12 | 2023-08-14 | Y |