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Deficiency Records for Edgehill Nursing and Rehab Cen
View the most recent health deficiencies and inspection results for Edgehill Nursing and Rehab Cen. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Edgehill Nursing and Rehab Cen. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-08-14 | 2025-10-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-14 | 2025-10-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-14 | 2025-09-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-14 | 2025-09-24 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2025-08-14 | 2025-09-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-08-14 | 2025-09-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-14 | 2025-09-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-14 | 2025-09-24 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-08-14 | 2025-09-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-08-14 | 2025-09-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-10-09 | 2024-12-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-09 | 2024-12-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-10-09 | 2024-12-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-09 | 2024-12-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-09 | 2024-12-03 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-10-09 | 2024-12-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-10-09 | 2024-12-03 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-10-09 | 2024-12-03 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-10-09 | 2024-12-02 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-10-09 | 2024-12-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-09 | 2024-12-02 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-10-09 | 2024-12-02 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-10-09 | 2024-12-02 | 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 | 2024-10-09 | 2024-12-02 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-10-09 | 2024-12-02 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2024-10-09 | 2024-12-02 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-10-09 | 2024-12-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-10-09 | 2024-12-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-10-09 | 2024-12-02 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-10-09 | 2024-12-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-25 | 2024-09-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-25 | 2024-09-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-25 | 2024-09-09 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-21 | 2024-03-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-21 | 2024-03-25 | N |
| Meet other general requirements. | Fire Safety | 2023-12-21 | 2024-03-25 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-12-21 | 2024-01-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-21 | 2024-01-23 | N |