Edgewood Rehab & Living Ctr

In the surveyor’s words

From the most serious findings on record at Edgewood Rehab & Living Ctr, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Aug 4, 2021

  Based on observations, interviews and temperature log reviews, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety by not monitoring the temperatures of the walk-in freezer, kitchen freezer, back freezer, snack freezer, walk-in refrigerator, and the snack refrigerator to ensure temperatures were kept at safe storage parameters, as well as monitoring the dishwasher wash and rinse cycle temperatures and chemical sanitizing sink and bucket sanitizer levels. This has the potential to effect all residents in the facility. Findings: 1. […]

• No harm, potential for more than minimal, patternF584Aug 20, 2025

  Based on observations and interviews, the facility failed to adequately provide housekeeping and maintenance services necessary to maintain the building in a sanitary, orderly, and comfortable environment on 1 of 1 wing (Long Term Care), a sitting area and the laundry room for 1 of 1 facility tours.Findings:On 8/20/25 from 11:15 a.m. to 11:40 a.m. a surveyor did an environmental tour with the Maintenance Director and the Healthcare Services District Manager, in which the following findings were observed: Laundry Room-There were two stained ceiling tiles behind the left dryer. There was a large area of wall, behind the left dryer, that was heavily soiled with dust. The wall next to the window had chipped/missing paint creating an uncleanable surface. […]

• No harm, potential for more than minimal, patternF628Aug 20, 2025

  Based on record reviews and interviews, the facility failed to issue a written transfer/discharge notices and bed hold notices residents or known family member or legal representative for facility-initiated transfers/discharges for 2 of 4 sampled residents transferred/discharged to an acute care facility. Resident #1(R1) and #8(R8). Additionally, the facility failed to notify the Ombudsman's office. Findings:On 8/19/25 at 12:24 p.m., in an interview with three surveyors present, the Social Worker stated that she is supposed to notify the Ombudsman of hospital transfers and had she not been doing them. 1. Documentation in R1's clinical record indicated that he/she was transferred to an acute hospital on 6/15/25 and subsequently admitted . […]

• No harm, potential for more than minimal, patternF656Aug 20, 2025

  Based on observations, interviews, facility policy the facility failed to update and include interventions on the resident's current comprehensive care plan for the areas of oxygen for 2 of 2 residents (Resident's [R]11 & R34), and in the area of activities for 1 of 4 care plans reviewed for activities (R15).Findings: 1. On 8/18/25 at 9:50 a.m. and 8/19/25 at 9:40 a.m., an oxygen concentrator was observed next to Resident (R) 11's bed. Review of R11's clinical record revealed a Quarterly Minimum Data Set Assessment, dated 6/5/25, Section J indicated shortness of breath with exertion, lying flat. Section O indicated R11 uses oxygen therapy, and an Interdisciplinary Team (IDT) note, dated 6/12/25 states, . […]

• No harm, potential for more than minimal, patternF679Aug 20, 2025

  Based on interviews, record reviews, activity calendar review, and Resident Council meeting minutes, the facility failed to provide residents with a continuous resident centered activities program for 3 of 3 residents reviewed for activity participation. (Resident's #[R]6, R15 & R35).Findings:1.Review of R6's care plan updated 7/29/25 states Activity: [R6] needs assistance to develop an activity program that meets [R6's] abilities and interests GOAL: [R6] will participate in activities/social events of their choosing over the next 90 days. Interventions Encourage socialization with peers .Review of R6's Activities log dated May 2025 through August 20, 2025 (3 months 20 days) reveled R6 attended 2 (two) group activities and received 6 (six) 1:1 visits. […]