Edgewood Health and Rehab

In the surveyor’s words

From the most serious findings on record at Edgewood Health and Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Sep 8, 2023

  Based on observation and interview, the facility failed to ensure dietary staff effectively washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen, These failed practices had the potential to affect 78 residents who received meals from the kitchen. The findings included: The following observations were made during the supper meal on 09/06/2023. a. Dietary Employee (DE) # 1 at 4:11 PM, removed a can of cream of chicken soup from the storage room and placed it on the counter. She picked up a pan from below the food preparation counter and placed it on the counter. She turned on the sink faucet and rinsed the pan and placed the pan on the counter with her fingers inside the pan. b. […]

• No harm, potential for more than minimal, widespreadF812Jun 10, 2022

  Based on observation, record review and interview, the facility failed to ensure foods stored in the refrigerators, freezer, and dry storage room were dated and failed to ensure foods stored in the freezer were sealed to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 71 residents (total census 73) who received meals from the kitchen as documented on a list provided by the Director of Nursing (DON) on 06/09/22 at 1:35 PM. The findings are: 1. On 06/06/22 at 9:22 AM, during the initial tour of the kitchen with the Registered Dietician (RD) and the Dietary Manager (DM) the following observations were made: a. […]

• No harm, potential for more than minimal, patternF761Jul 16, 2026

  Number of residents sampled: Number of residents cited: Based on record review, observation, and interviews, the facility failed to develop and implement policies for IV therapy that adhere to the professional standards of practice. The professional standard of practice include medication labeling and dating, as appropriate for infusion fluids for two (Resident #17 and Resident #26) of two residents receiving IV antibiotic therapy. The findings include: Resident #17 Review of a Medical Diagnosis Report revealed Resident #17 had diagnoses which included intraspinal abscess, left heel deep tissue injury, and neurogenic bladder. […]

• No harm, potential for more than minimal, patternF727Nov 7, 2024

  Based on observations, interviews, and document reviews, the facility failed to ensure a Registered Nurse (RN) worked at least 8 consecutive hours a day, for 7 days a week, and the Director of Nursing (DON) did not serve as the RN in the facility. This failed practice had the potential to affect all residents residing in the facility. The facility census was 84. Findings included: A review of an undated document, titled Job Description Charge Nurse/Shift Supervisor, revealed the primary purpose of the position was to direct nursing care that included: participation in surveys, admit, transfer, and discharge residents, administering medications, arranging diagnostic services, consulting with physician for resident care and treatment, ensuring resident treatments are performed, evaluate… […]

• No harm, potential for more than minimal, patternF880Nov 7, 2024

  50923 Based on observations, interviews, and facility policy review, the facility failed to ensure staff performed hand hygiene during meal service. Specifically, staff failed to perform hand hygiene between serving resident trays, prior to entering or leaving resident rooms on 1 (300) hall of 1 hall observed during meal service; and failed to ensure hand hygiene was performed during perineal care with a brief change for 1 (Resident #12) of 21 sampled residents. The facility also failed to initiate Enhanced Barrier Precaution (EBP) for 1 (Resident #34) of 1 resident reviewed for enhanced barrier precautions. […]