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Deficiency Records for Edinboro Manor
View the most recent health deficiencies and inspection results for Edinboro Manor. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Edinboro Manor. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2026-01-22 | 2026-03-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-01-22 | 2026-03-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-01-22 | 2026-03-06 | 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 | 2026-01-22 | 2026-03-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2026-01-22 | 2026-03-06 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-01-22 | 2026-03-06 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2026-01-22 | 2026-03-06 | 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 | 2026-01-22 | 2026-03-06 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2026-01-22 | 2026-03-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2026-01-22 | 2026-02-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2026-01-22 | 2026-02-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-01-22 | 2026-02-17 | N |
| Establish emergency prep training and testing. | Fire Safety | 2026-01-22 | 2026-02-17 | N |
| Meet other general requirements. | Fire Safety | 2026-01-22 | 2026-02-17 | 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 | 2026-01-22 | 2026-02-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2026-01-22 | 2026-02-17 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2026-01-22 | 2026-02-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2026-01-22 | 2026-02-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-01-22 | 2026-02-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2026-01-22 | 2026-02-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2026-01-22 | 2026-02-17 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2026-01-22 | 2026-02-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-01-31 | 2025-03-28 | N |
| 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 | 2025-01-31 | 2025-03-28 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-01-31 | 2025-03-28 | 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 | 2025-01-31 | 2025-03-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-31 | 2025-03-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-01-31 | 2025-03-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-01-31 | 2025-03-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-31 | 2025-03-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-01-31 | 2025-03-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-15 | 2024-04-15 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-02-15 | 2024-04-15 | 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 | 2024-02-15 | 2024-04-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-02-15 | 2024-04-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-15 | 2024-04-15 | N |
| Respond appropriately to all alleged violations. | Health | 2024-02-15 | 2024-04-15 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-02-15 | 2024-04-15 | 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 | 2024-02-15 | 2024-04-15 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-02-15 | 2024-04-15 | N |
| 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 | 2024-02-15 | 2024-04-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-15 | 2024-04-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-15 | 2024-04-15 | 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 | 2023-10-05 | 2023-11-20 | Y |