Sedgewood Manor Health Care Center

In the surveyor’s words

From the most serious findings on record at Sedgewood Manor Health Care Center, in the surveyor’s own words.

• Actual harm, isolatedF689Feb 2, 2021

  Based on observation, record review, and staff interview, the facility failed to provide adequate supervision to a resident with impaired mobility and [MEDICAL CONDITION] and at high risk for falls. In addition, the facility failed to ensure the bed alarm worked properly for one of four sampled residents reviewed for accidents. Resident #1 was found on the floor with a hematoma above (his/her) left eye. Findings: The facility admitted Resident #1 on 1/23/17 with [DIAGNOSES REDACTED]. On 2/2/21 at approximately 10:00 AM Resident #1 was noticed in bed with the TV on. S/he has a pronounced hematoma above (his/her) left eye and bruising around it. […]

• No harm, potential for more than minimal, widespreadF812Jul 23, 2026

  Based on observations, interviews, and policy review, the facility failed to ensure stored meat products were properly labeled and dated and failed to discard opened meat products that were stored in refrigeration for greater than four days in one of one kitchen. This failure had the potential to promote bacterial growth, impede identification of expired or unsafe food products, and increase the risk of food-borne illness for 26 residents who consumed food prepared from the facility's kitchen.Findings include:Review of the facility's undated policy titled, Date Marking for Food Safety, indicated, Policy: The facility adheres to a date marking system to ensure the safety of ready-to-eat, time/temperature control for safety food . 2. […]

• No harm, potential for more than minimal, widespreadF812Jul 29, 2025

  Based on review of facility policy, observations and staff interviews, the facility failed to properly label and discard expired food items in 1 of 1 main kitchen and 1 of 1 resident nourishment refrigerator. This failure to follow proper food storage protocols presents a potential risk to the health and safety of the 33 residents who consume food prepared in the facility's kitchen.Review of an undated facility policy titled Labeling, Dating, Rotating Foods revealed the following: Food must be rotated while in storage to maintain quality and limit the growth of pathogens. Food items must be rotated so the items with the earliest use-by or expiration dates are used before those listed with later dates. […]

• No harm, potential for more than minimal, widespreadF727Jul 10, 2024

  Based on record review and interview, the facility failed to ensure the services of a Registered Nurse (RN) were used for at least eight consecutive hours a day, seven days a week. A review of the nursing schedule provided by the facility revealed an RN was not on site for eight consecutive hours a day on the weekends for seven (7) consecutive months, from January 2024 through July 2024. This failure had the potential to affect the provision of registered nursing assessments and services to all 32 residents in the facility. The findings included: A Review of the facility's undated policy titled, Nursing Services and Sufficient Staff revealed 8. […]

• No harm, potential for more than minimal, widespreadF812Jul 10, 2024

  Based on observation, interviews and review of the facility policy, the facility failed to discard expired food items for 1 of 1 kitchen area. Findings Include: Review of the facility policy titled, Food Storage without a revision date, revealed, All stock must be rotated with each new order received. Rotating stock is essential to ensure the freshness and highest quality of all foods. Place new items behind supply in stock of the same item; in this way oldest stock is always used first. […]