A list of the most recent deficiencies for Edgewood Manor of Wellston. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-10 | 2023-01-11 | Y |
| 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 | 2022-10-21 | 2022-11-18 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-10-17 | 2022-11-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-17 | 2022-11-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-17 | 2022-11-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-17 | 2022-11-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-17 | 2022-11-18 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2022-10-17 | 2022-11-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-17 | 2022-11-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-17 | 2022-11-18 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-02-20 | 2020-03-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-20 | 2020-03-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-20 | 2020-03-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-19 | 2020-03-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-02-19 | 2020-03-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-28 | 2019-01-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-12-28 | 2019-01-22 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-12-28 | 2019-01-22 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2018-12-26 | 2019-01-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-26 | 2019-01-22 | N |
