Deficiency Records for Edgewood Manor Rehabilitation and Healthcare Center
Updated as of August 01, 2020
This is not the most recent data for Edgewood Manor Rehabilitation and Healthcare Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| 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 |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-06-25 | 2019-07-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-06-25 | 2019-07-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-06-25 | 2019-07-12 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-06-25 | 2019-07-12 | 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 | 2019-05-30 | 2019-05-31 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-02-28 | 2019-03-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-02-28 | 2019-03-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-02-28 | 2019-03-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-02-19 | 2019-03-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-08 | 2019-01-11 | 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 | 2019-01-08 | 2019-01-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-31 | 2018-11-09 | 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 | 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 |
| Be properly staffed | 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 |
| Post nurse staffing information every day. | Health | 2018-10-04 | 2018-10-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-10-04 | 2018-10-24 | Y |
| 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 |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-06-08 | 2017-07-14 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2017-06-08 | 2017-07-14 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-08 | 2017-07-14 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-06-08 | 2017-07-14 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-06-08 | 2017-07-14 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-08 | 2017-07-14 | N |
