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Deficiency Records for Edgewater, A Wesleylife Community

A list of the most recent deficiencies for Edgewater, A Wesleylife Community. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Edgewater, A Wesleylife Community. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Develop Emergency Preparedness policies and procedures. Fire Safety 2024-07-24 2024-08-06 N
Address subsistence needs for staff and patients. Fire Safety 2024-07-24 2024-08-06 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-07-24 2024-08-05 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2024-07-24 2024-08-05 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2024-07-24 2024-08-05 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-07-24 2024-08-05 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2024-07-24 2024-08-05 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2024-07-15 2024-07-24 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-07-15 2024-07-24 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-12-05 2024-01-04 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-12-05 2024-01-04 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-12-05 2023-12-18 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-12-05 2023-12-15 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2023-12-05 2023-12-14 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-12-05 2023-12-14 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2023-12-05 2023-12-14 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-12-05 2023-12-14 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-12-05 2023-12-14 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-12-05 2023-12-14 N
Have restrictions on the use of portable space heaters. Fire Safety 2023-12-05 2023-12-14 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-07-27 2022-09-09 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-07-27 2022-08-31 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-07-27 2022-08-14 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-07-27 2022-08-14 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2022-07-27 2022-08-14 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-07-27 2022-08-14 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-07-27 2022-08-14 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-07-27 2022-08-14 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2022-07-27 2022-08-05 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-07-27 2022-08-02 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2022-07-27 2022-08-01 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2022-07-27 2022-08-01 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-07-27 2022-08-01 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-07-27 2022-08-01 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2022-07-27 2022-07-29 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-07-27 2022-07-29 N
Use approved construction type or materials. Fire Safety 2022-07-27 2022-07-28 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-07-27 2022-07-28 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-07-27 2022-07-28 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-07-27 2022-07-27 N

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