Deficiency Records for Edgewood Manor of Greenfield
Updated as of January 01, 2022
This is not the most recent data for Edgewood Manor of Greenfield. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-22 | 2017-06-22 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-05-22 | 2017-06-22 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-05-22 | 2017-06-22 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-05-22 | 2017-06-22 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-05-22 | 2017-06-22 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-05-22 | 2017-06-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-05-22 | 2017-06-22 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2017-05-22 | 2017-06-22 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-05-22 | 2017-06-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-05-22 | 2017-06-22 | N |
