The Plaza at Edgemere

In the surveyor’s words

From the most serious findings on record at The Plaza at Edgemere, in the surveyor’s own words.

• Actual harm, isolatedF684Mar 27, 2026

  Based on observation, interview, and record reviews, the facility failed to ensure a resident received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's choices for 2 (Residents #1 and #2) of 5 residents reviewed for quality of care. The facility failed to ensure Resident #1 and Resident #2 did not develop wounds due to ill-fitting (too small) briefs for both, and the use of a mechanical lift sling that was too small for Resident #1. This failure could place residents at risk for pain and infection.Findings included: 1. Record review of Resident #1's admission MDS Assessment, dated 03/05/26, reflected the resident was a [AGE] year-old female admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, widespreadF812Oct 3, 2024

  Based on observation, interviews, and record reviews the facility failed to ensure food was stored, prepared, distributed, and served in accordance with professional standards for food service safety for 2 kitchens reviewed for food storage, labeling, dating, and kitchen sanitation. 1. The facility failed to ensure foods in the refrigerator and freezer, were properly sealed from air-borne contaminations. 2. The facility failed to clean the food storage bins in the dry food storage area in the main kitchen. The facility failed to clean the Ice Machine on both the 3rd floor (Main Kitchen) and 2nd floor (Secondary Kitchen). […]

• No harm, potential for more than minimal, widespreadF812Apr 23, 2021

  Based on observation, interview, and record review, the facility failed to store, distribute, and serve food under sanitary conditions in one of one kitchens. The facility failed to ensure hand hygiene was performed prior to handling food. The facility failed to remove expired food and to discard foods according to use by date. The facility failed to label and date items. The failures placed residents at risk for food borne illness and contamination. Findings included: Observation on [DATE] at 10:43 AM revealed inside of a walk-in refrigerator were containers without name of food items including, zucchini and cauliflower. The walk- in refrigerator contained turkey stock with a use by date of [DATE]; creamy coleslaw with a use by date of [DATE]; shredded cheese with a use by date [DATE]. […]

• No harm, potential for more than minimal, patternF812Jan 22, 2026

  Based on observations, interviews, and record reviews, 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. The facility failed to ensure that only paper towels were placed in 3 of 3 handwashing sink garbage receptacles.The facility failed to ensure that 1 of 3 handwashing sinks had a garbage receptacle.The facility failed to maintain the sanitizing solution used in the manual dishwashing process at the proper chemical concentration required for effective sanitation.The facility failed to ensure that stored canned goods had uncompromised seals and were free from dents.These failures could have placed residents at risk for food-borne illness and cross… […]

• No harm, potential for more than minimal, patternF851Jan 22, 2026

  Based on interview and record review, the facility failed to electronically submit to CMS complete and accurate direct care staffing information for the fourth quarter (July 1, 2025, to September 30, 2025). The facility failed to submit complete PBJ staffing information to CMS for July 1, 2025, to September 30, 2025. This failure could place all residents at risk for personal needs not being identified and met, decreased quality of care, decline in health status, and decreased feelings of well-being within their living environment. Findings Included:Record review of the CASPER3 PBJ report reflected the facility failed to submit data for the FY quarter 4 (July 1, 2025- September 30, 2025). No other quarter triggered. […]