Edgewood Centre (The)

In the surveyor’s words

From the most serious findings on record at Edgewood Centre (The), in the surveyor’s own words.

• No harm, potential for more than minimal, patternF761Mar 14, 2024

  Based on observation, interview, and record review, it was determined that the facility failed to ensure controlled medications were stored in a separately locked, permanently affixed storage compartment in 2 of 2 medication rooms observed, and that the facility failed to ensure that medications were appropriately disposed of in 2 of 3 medication administrations observed. Findings include: Observation on 3/12/24 of [NAME] 1 cart at approximately 8:15 a.m. revealed Staff I (Registered Nurse) dropped one capsule of Colace (Bowel Medication) on the medication cart, then picked it up and threw it in the trash barrel attached to the medication cart. Interview on 3/12/24 at approximately 8:15 a.m. […]

• No harm, potential for more than minimal, patternF761Feb 17, 2023

  Based on observation, interview and record review, it was determined that the facility failed to ensure that medications were labeled with an open date or use by date for medications found in 2 out of 3 medication carts and 1 out of 2 medication rooms observed; and failed to ensure medications were secured on 1 out of 3 nursing units observed (Resident identifiers are #15, #19, #26, #31, #82 and #87). Findings include: Observation on [DATE] at approximately 11:45 a.m. on Resident #15's night stand revealed 2 opened bottles of eye drops. Interview on [DATE] at approximately 11:45 a.m. with Staff C (Registered Nurse (RN)) revealed that the eye drops are routinely left on the resident's nightstand. […]

• No harm, potential for more than minimal, patternF881Jan 27, 2022

  Based on interview, and record review, it was determined that the facility failed to follow antibiotic use protocols related to the appropriate use of antibiotics in the treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] . (June 2021 - December 2021) Findings include: Review on 1/26/22 at approximately 1:00 p.m. of the facility's June 2021 and December 2021 antibiotic line listing and tracking system revealed the following: June 2021 4 residents on antibiotics for the treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] . 3 residents on antibiotics for treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] . 1 resident on antibiotics for treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] . July 2021 8 residents on antibiotics for the treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, isolatedF552Jul 10, 2026

  Based on interview and record review, the facility failed to inform the resident or resident representative of the risks and benefits of an antipsychotic medication for 2 of 5 residents reviewed for unnecessary medications (Resident identifiers are #2 and #54). Findings include:Resident #2 Review on 7/10/26 of Resident #2's physician orders revealed an order, dated 11/25/25, for Olanzapine (antipsychotic) 5 mg (milligrams) 1 tablet by mouth two times per day. Review on 7/10/26 of Resident #2's progress notes and consents revealed no documentation that the resident or resident representative was informed of the risks and benefits of the above antipsychotic medication. Interview on 7/10/26 at approximately 1:45 p.m. with Staff B (Director of Nursing) confirmed the above findings. […]

• No harm, potential for more than minimal, isolatedF605Jul 10, 2026

  Based on interview and record review, the facility failed to ensure that residents who are taking psychotropic medication received a gradual dose reduction (GDR) unless clinically contraindicated and to ensure that a PRN (as needed) psychotropic medications are not ordered for more than 14 days without rationale in 1 of 5 residents reviewed for unnecessary medications in a final sample of 28 residents (Resident identifier is #54). Findings include: Resident #54 Review on 7/10/26 of Resident #54's physician orders revealed an order, dated 7/29/25, for Olanzapine 2.5 mg (milligrams) by mouth at bedtime. Review on 7/10/26 of Resident #54's psychiatric evaluation and consultation notes, dated 5/14/26, that revealed, GDR: Not indicated, patient not required. […]