Edgewood Rehabilitation and Care Center

In the surveyor’s words

From the most serious findings on record at Edgewood Rehabilitation and Care Center, in the surveyor’s own words.

• Actual harm, isolatedF600Apr 4, 2023

  Based on interview and record review, the facility failed to ensure resident was free from abuse for 1 (Resident #1) of 5 residents reviewed for abuse. The facility failed to protect and ensure Resident #1, which resident required extensive assistance for care, was free from receiving multiple injuries of unknown origin. The resident sustained these injuries of unknown origin: left fifth finger fracture, upper femur/thigh fracture, Sacral bone fracture, lower back, and left thigh bruise. These failures placed residents, who resided in the facility, at risk of neglect, not receiving services or care after an injury or fall. Findings included: Review of the Provider Investigation Report dated 02/28/23 reflected an attached Investigation Summary. […]

• Actual harm, isolatedF684Apr 4, 2023

  Based on interview, and record review the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for (Resident #1) of five residents reviewed for quality of care. 1.The facility failed to ensure LVN C performed a head-to- toe assessment on 02/20/23 when Resident #1 exhibited a change of condition, of pain with multiple fractures. 2. The facility failed to ensure LVN C monitored or evaluated the resident's response to interventions, and/or revise the interventions as appropriate, causing a negative outcome, or placing the resident at risk for increased pain or further problems. […]

• No harm, potential for more than minimal, patternF812May 15, 2025

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in the facility's only kitchen reviewed for food safety. 1. The facility failed to ensure food items in the freezers were stored sealed and not exposed to air in accordance with the professional standards for food service. These failures could place residents at risk for food-borne illness and cross contamination. Findings Include: Observation of the walk-in freezer on 05/13/2025 at 9:27am revealed the following: -1 10 lb box of fish nuggets dated 4/1/25 was exposed to the air. […]

• No harm, potential for more than minimal, patternF880May 15, 2025

  Based on observation, interview, and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 2 (MA B) staff members and 2 of 5 residents (Residents #50 and #38) reviewed for infection control procedures. MA B failed to disinfect the blood pressure cuff in between blood pressure checks for Residents #50 and #38. Facility staff failed to clean up the dirty soiled linens and clothing out of the shower room on Hall 200. […]

• No harm, potential for more than minimal, patternF921May 15, 2025

  Based on observations, interviews, and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public for four hallways, (halls: 100, 200, 300, and 400) of five and the activities room, outside one public bathroom of two, Assistant Director of Nursing Office, Maintenance entrance and conference room, reviewed for physical environment. 1. The facility failed to ensure the facility carpet was clean and in good repair. These failures could affect all residents. Findings included: Observation on 05/14/2025 at 1:00 p.m. revealed a large dark stain, the size of two footballs, on the carpet between the fire doors on Hall 100. Observation on 05/14/2025 at 1:02 p.m. […]