A list of the most recent deficiencies for Edgewood Manor of Greenfield. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-18 | 2023-01-19 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-12-14 | 2023-01-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-14 | 2023-01-19 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-14 | 2023-01-19 | Y |
| Keep all essential equipment working safely. | Health | 2022-12-14 | 2023-01-19 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-10-19 | 2022-10-28 | Y |
| 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 | 2022-10-19 | 2022-10-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-13 | 2022-09-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-13 | 2022-09-16 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-13 | 2022-09-16 | Y |
| 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 | 2022-09-13 | 2022-09-16 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-06-06 | 2022-07-14 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2022-06-06 | 2022-07-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-06-06 | 2022-07-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-06-06 | 2022-07-14 | 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 | 2022-06-06 | 2022-07-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-06 | 2022-07-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-06 | 2022-07-14 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-06-06 | 2022-07-14 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-06-06 | 2022-07-14 | N |
| Use approved construction type or materials. | Fire Safety | 2022-05-31 | 2022-07-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-05-31 | 2022-07-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-31 | 2022-07-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-31 | 2022-07-14 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2022-05-31 | 2022-07-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-31 | 2022-07-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-31 | 2022-07-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-05-31 | 2022-07-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-05-31 | 2022-07-14 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-05-31 | 2022-07-14 | 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 | 2022-06-06 | 2022-07-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-05 | 2021-11-12 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-05 | 2021-11-12 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-05 | 2021-11-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-05 | 2021-11-12 | Y |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2019-08-01 | 2019-09-20 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-08-01 | 2019-09-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-01 | 2019-09-20 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-08-01 | 2019-09-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-01 | 2019-09-20 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-08-01 | 2019-09-20 | 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 | 2019-08-01 | 2019-09-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-01 | 2019-09-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-08-01 | 2019-09-20 | N |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2019-08-02 | 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 | 2019-08-02 | 2019-09-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-02 | 2019-09-20 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-08-02 | 2019-09-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-02 | 2019-09-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-08-02 | 2019-09-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-08-02 | 2019-09-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-02 | 2019-09-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-08-02 | 2019-09-20 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2019-08-02 | 2019-09-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-02 | 2019-09-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-02 | 2019-09-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-02 | 2019-09-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-07-26 | 2018-08-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-26 | 2018-08-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-26 | 2018-08-24 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-07-23 | 2018-08-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-07-23 | 2018-08-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-07-23 | 2018-08-24 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-07-23 | 2018-08-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-07-23 | 2018-08-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-07-23 | 2018-08-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-07-23 | 2018-08-24 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-07-23 | 2018-08-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-23 | 2018-08-24 | N |
