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Deficiency Records for The Plaza at Edgemere

View the most recent health deficiencies and inspection results for The Plaza at Edgemere. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for The Plaza at Edgemere. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2026-03-27 2026-04-01 Y
Include a process for Emergency Preparedness collaboration. Fire Safety 2026-01-22 2026-02-12 N
Establish roles under a Waiver declared by secretary. Fire Safety 2026-01-22 2026-02-12 N
Establish staff and initial training requirements. Fire Safety 2026-01-22 2026-02-12 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2026-01-22 2026-02-12 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2026-01-22 2026-02-12 N
Provide and implement an infection prevention and control program. Health 2026-01-22 2026-01-29 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2026-01-22 2026-01-29 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2026-01-22 2026-01-29 N
Have properly located and lighted "Exit" signs. Fire Safety 2026-01-22 2026-01-28 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2026-01-22 2026-01-26 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2026-01-22 2026-01-26 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2026-01-22 2026-01-26 N
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Fire Safety 2026-01-22 2026-01-26 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 2026-01-26 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2025-12-02 2025-12-03 Y
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2024-10-03 2024-11-01 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-10-03 2024-11-01 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-10-03 2024-11-01 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-10-03 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 2024-10-03 2024-11-01 Y
Ensure each resident receives an accurate assessment. Health 2024-10-03 2024-11-01 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-10-03 2024-11-01 Y
Provide and implement an infection prevention and control program. Health 2024-10-03 2024-11-01 Y
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-10-03 2024-11-01 N
Ensure electrical receptacles or cover plates have distinctive color or marking. Fire Safety 2024-10-03 2024-11-01 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-10-03 2024-11-01 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-10-03 2024-11-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-10-03 2024-11-01 N
Provide properly protected cooking facilities. Fire Safety 2024-10-03 2024-11-01 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2024-10-03 2024-11-01 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2023-08-23 2023-10-13 N

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