A list of the most recent deficiencies for Edgewood Health and Rehabilitation. 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2023-07-27 | 2023-09-08 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-07-27 | 2023-09-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-07-27 | 2023-09-08 | 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 | 2023-07-27 | 2023-09-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-27 | 2023-09-08 | 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 | 2023-07-27 | 2023-09-08 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-07-27 | 2023-09-08 | 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 | 2023-07-27 | 2023-09-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-27 | 2023-09-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-07-27 | 2023-09-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-05 | 2023-05-19 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2023-04-05 | 2023-05-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-05 | 2023-05-19 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-01-16 | 2020-02-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-16 | 2020-02-14 | 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 | 2020-01-16 | 2020-02-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-16 | 2020-02-14 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-03-07 | 2019-04-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-05 | 2019-04-19 | N |
