CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Edgemere Estates
View the most recent health deficiencies and inspection results for Edgemere Estates. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Edgemere Estates. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-12-16 | 2025-12-28 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-12-16 | 2025-12-28 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2025-12-16 | 2025-12-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-12-16 | 2025-12-28 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-04-30 | 2025-09-10 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2025-04-30 | 2025-09-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-04-30 | 2025-09-10 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2025-04-30 | 2025-09-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-04-30 | 2025-09-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-04-30 | 2025-09-10 | N |
| 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 | 2025-04-30 | 2025-09-10 | N |
| Conform to length requirements for dead end corridors. | Fire Safety | 2025-04-30 | 2025-09-10 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-04-30 | 2025-09-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-04-30 | 2025-09-10 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2025-04-30 | 2025-09-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-30 | 2025-09-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-04-30 | 2025-09-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-04-30 | 2025-05-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-30 | 2025-05-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-04-30 | 2025-05-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-30 | 2025-05-02 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-04-30 | 2025-05-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-02-10 | 2025-03-11 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2025-02-10 | 2025-03-11 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-02-10 | 2025-03-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-02-10 | 2025-03-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-10 | 2025-03-11 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-02-10 | 2025-03-11 | Y |
| 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 | 2025-02-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-02 | 2025-01-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-20 | 2024-11-01 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-09-20 | 2024-11-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-20 | 2024-11-01 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-19 | 2024-08-28 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-19 | 2024-07-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-19 | 2024-06-18 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-05-01 | 2024-06-14 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-04-01 | 2024-05-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-01 | 2024-05-08 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-01 | 2024-05-08 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-03-14 | 2024-04-18 | N |
| 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 | 2024-03-14 | 2024-04-18 | N |
| Dispose of garbage and refuse properly. | Health | 2024-03-14 | 2024-04-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-14 | 2024-04-18 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-03-14 | 2024-04-18 | N |
| Keep all essential equipment working safely. | Health | 2024-03-14 | 2024-04-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-03-14 | 2024-04-18 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-03-14 | 2024-04-18 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2024-03-14 | 2024-04-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-14 | 2024-04-18 | Y |
| 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 | 2024-03-14 | 2024-04-18 | N |
| Respond appropriately to all alleged violations. | Health | 2024-03-14 | 2024-04-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-14 | 2024-04-18 | 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 | 2024-03-14 | 2024-04-18 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-03-14 | 2024-04-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-14 | 2024-04-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-14 | 2024-04-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-14 | 2024-04-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-14 | 2024-04-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-14 | 2024-04-18 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-03-14 | 2024-04-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-14 | 2024-04-18 | N |
| Post nurse staffing information every day. | Health | 2024-03-14 | 2024-04-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-14 | 2024-04-14 | 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 | 2024-03-14 | 2024-04-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-14 | 2024-04-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-31 | 2023-09-22 | Y |
| Post nurse staffing information every day. | Health | 2023-08-08 | 2023-09-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-08 | 2023-09-11 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-06-26 | 2023-08-07 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-26 | 2023-08-07 | Y |
| Post nurse staffing information every day. | Health | 2023-06-26 | 2023-08-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-08 | 2023-08-01 | Y |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2023-02-10 | 2023-03-31 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-02-10 | 2023-03-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-10 | 2023-03-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-10 | 2023-03-31 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-02-10 | 2023-03-31 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-02-10 | 2023-03-31 | 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 | 2023-02-10 | 2023-03-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-10 | 2023-03-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-10 | 2023-03-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-10 | 2023-03-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-02-10 | 2023-03-31 | 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 | 2023-02-10 | 2023-03-31 | N |