Edgewood Place at the Village at Brookwood

In the surveyor’s words

From the most serious findings on record at Edgewood Place at the Village at Brookwood, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jul 24, 2025

  Based on observations, record review, and staff interviews, the facility failed to keep food preparation areas and food service equipment clean, free from debris, grease buildup, and/or dried spills during two kitchen observations. In addition, the facility failed to clean the ceiling vents located over the food preparation and food service areas. These practices had the potential to affect food served to residents. The findings included:During a kitchen tour on 7/21/25 at 10:44 AM, the following observations were made with the kitchen Supervisor and Dining Service Director:a. Stove #1 had six (6) burners that had heavy grease build-up on the stove burners, walls behind the stove, and front of the stove. […]

• No harm, potential for more than minimal, isolatedF561Mar 3, 2023

  Based on record review, and resident, staff, and hospice interviews, the facility failed to honor residents' bathing preference and preferred number of showers per week for 2 of 3 residents (Resident #20 and Resident #11) reviewed for choices. The findings included: 1. Resident #20 was admitted to facility 2/11/20 with a diagnoses that included, venous insufficiency (peripheral) improper functioning of the vein valves in the leg that can cause swelling, muscle weakness, chronic kidney disease and difficulty walking, The significant change Minimum Data Set (MDS) assessment dated [DATE] indicated that Resident #20 was cognitively intact, had no rejection of care behaviors and was totally dependent on one person for bathing. […]

• No harm, potential for more than minimal, isolatedF582Mar 3, 2023

  Based on record reviews and staff interviews, the facility failed to provide a Centers for Medicare and Medicaid Services (CMS) Skilled Nursing Facility Advanced Beneficiary Notice (SNF-ABN) prior to discharge from Medicare Part A skilled services to 2 of 2 residents reviewed for beneficiary notification review (Residents #4 and #6). The findings included: 1. Resident #4 was admitted to the facility on [DATE]. A review of the medical record revealed a CMS-10123 Notice of Medicare Non-Coverage letter was issued and signed by Resident #4 on 10/10/22. The letter explained Medicare Part A coverage for skilled services would end on 10/12/22. […]

• No harm, potential for more than minimal, isolatedF657Mar 3, 2023

  Based on record review and staff interviews, the facility failed to revise the care plan after two falls for 1 of 3 residents (Resident #17) reviewed for falls. The findings included: Resident #17 was admitted on [DATE] with the most recent re-admitted [DATE] with diagnoses of unsteadiness on feet, history of falling, difficulty in walking and muscle weakness. The quarterly Minimum Data Set (MDS) dated [DATE] indicated Resident #17 was moderately cognitively impaired. Resident #17 required limited assistance with transfer and extensive assistance with walking Her balance during transitions and walking was not steady and she was only able to stabilize with staff assistance. Resident #17 was frequently incontinent of bladder and required extensive assistance of one with toileting. […]

• No harm, potential for more than minimal, isolatedF684Mar 3, 2023

  Based on record review and resident and staff interviews, the facility failed to assess a resident for injury before being moved after a fall for 1 of 3 residents (Resident #17) reviewed for falls. The findings included: Resident #17 was admitted on [DATE] with the most recent re-admitted [DATE] with diagnoses of unsteadiness on feet, history of falling, difficulty in walking and muscle weakness. The quarterly Minimum Data Set (MDS) dated [DATE] indicated Resident #17 was moderately cognitively impaired. Resident #17 had no rejection of care behaviors and required limited assistance with transfer and extensive assistance with walking in the room and locomotion on unit. Her balance during transitions and walking was not steady and she was only able to stabilize with staff assistance. […]