Deficiency Records for Edgewood Manor Rehabilitation and Healthcare Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Edgewood Manor Rehabilitation and Healthcare Center. 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 dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-24 | 2022-10-10 | 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 | 2022-08-24 | 2022-10-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-24 | 2022-10-10 | 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 | 2022-08-24 | 2022-10-10 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-08-24 | 2022-10-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-08-24 | 2022-10-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-24 | 2022-10-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-08-24 | 2022-10-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-24 | 2022-10-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-24 | 2022-10-10 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-12 | 2022-10-10 | Y |
| 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 | 2022-09-12 | 2022-10-10 | Y |
| 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 | 2022-09-12 | 2022-10-10 | Y |
| 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 | 2022-08-15 | 2022-10-10 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-08-15 | 2022-10-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-15 | 2022-10-10 | 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 | 2021-11-22 | 2022-01-07 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-22 | 2022-01-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-02 | 2022-01-07 | Y |
| 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 | 2021-08-09 | 2021-09-10 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-08-28 | 2019-09-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-28 | 2019-09-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-28 | 2019-09-27 | 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 | 2019-08-28 | 2019-09-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-28 | 2019-09-27 | 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 | 2019-08-26 | 2019-09-27 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-08-26 | 2019-09-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-26 | 2019-09-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-08-26 | 2019-09-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-26 | 2019-09-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-26 | 2019-09-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-08-09 | 2018-10-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-09 | 2018-10-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-08-09 | 2018-10-24 | 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 | 2018-08-09 | 2018-10-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-09 | 2018-10-24 | 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 | 2018-08-07 | 2018-10-24 | 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 | 2018-08-07 | 2018-10-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-07 | 2018-10-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-07 | 2018-10-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-08-07 | 2018-10-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-08-07 | 2018-10-24 | N |
