St Elizabeth Edgewood SNF

In the surveyor’s words

From the most serious findings on record at St Elizabeth Edgewood SNF, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Feb 12, 2026

  Based on observation, interview, record review, review of the Centers for Disease Control and Prevention (CDC) guidance, and review of the facility's policies, 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 and control the development and transmission of communicable diseases. The facility failed to implement its infection prevention and control policies and procedures and identify and correct problems relating to infection prevention practices for 4 out of 14 sampled residents, Resident (R) 4, R11, R40, and R44. […]

• No harm, potential for more than minimal, widespreadF812Nov 9, 2023

  Based on observation, interview, and review of the facility's policy, it was determined the facility failed to prepare food under sanitary conditions. Observations on 11/07/2023 and 11/08/2023 revealed Cold Food Server #1 moved about in the kitchen production area with her hair not restrained by the hairnet. The findings include: Review of facility's policy titled, Uniforms, Health and Personal Hygiene, not dated, revealed uniform guidelines to include hair restraints were required in all food production, food service, and dish handling areas. Observation of Cold Food Server #1, on 11/07/2023 at 12:40 PM, revealed she wore the hairnet on top of her head with her hair loose and hanging down, while she worked in the food production area. […]

• No harm, potential for more than minimal, widespreadF812Aug 4, 2022

  Based on observation, interview, record review, review of the Food and Drug Administration (FDA) website, review of the Centers for Disease Control and Prevention (CDC) website, review of the Food Safety website, and review of the facility's policy, it was determined the facility failed to prepare food under sanitary conditions in accordance with professional standards for food service safety. Observation of the kitchen, on 08/03/2022, revealed Cook #1 wore a hair net inappropriately around food and touched her mask with gloved hands repeatedly without changing gloves with hand hygiene. […]

• No harm, potential for more than minimal, isolatedF880Jan 9, 2025

  Based on observation, interview, record review, and review of the facility's policy, 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 out of 2 sampled residents, Resident (R) 5. Observation on 01/07/2025 revealed a staff member entered R5's room, a Contact Plus Isolation room, to perform resident care without donning (putting on) personal protective equipment (PPE). […]

• No harm, potential for more than minimal, isolatedF880Nov 9, 2023

  Based on observation, interview, record review, review of the facility's policy, and review of the Centers for Disease Control and Prevention Reference: Guidelines for Hand Hygiene in Healthcare settings, it was determined the facility failed to establish and maintain an effective infection prevention and control program designed to provide a safe environment; and to help prevent the development and transmission of communicable diseases for five (5) of fourteen (14) sampled residents. The failures were related to improper cleaning of the residents' shared glucometers, improper hand hygiene, and improper handling of resident's medication. The residents affected were Resident #1, Resident #7 and Resident #8, Resident #207, and Resident #257. […]