A list of the most recent deficiencies for Edgehill Nursing and Rehab Cen. 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-03-03 | 2023-04-24 | N |
| Dispose of garbage and refuse properly. | Health | 2023-03-03 | 2023-04-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-03 | 2023-04-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-13 | 2023-04-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-13 | 2023-04-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-13 | 2023-04-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-13 | 2023-04-07 | N |
| Meet other general requirements. | Fire Safety | 2022-04-29 | 2022-06-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-04-29 | 2022-06-25 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-04-29 | 2022-06-25 | 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 | 2022-04-29 | 2022-06-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-29 | 2022-06-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-29 | 2022-06-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-29 | 2022-06-25 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-04-27 | 2022-06-03 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-04-27 | 2022-06-03 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-04-27 | 2022-06-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-02-26 | 2020-04-10 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2020-02-26 | 2020-04-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-26 | 2020-04-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-02-26 | 2020-04-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-02-26 | 2020-04-10 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2020-02-26 | 2020-04-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-25 | 2020-03-16 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2020-02-25 | 2020-03-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-25 | 2020-03-16 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2020-02-25 | 2020-03-16 | N |
